FDA Adverse Event Malfunction Summary report: N

PIN COLLET

MDR report key: 2082118 · Received April 26, 2011

Report

Report Number
1811755-2011-01412
Event Type
Malfunction
Date Received
April 26, 2011
Date of Event
March 29, 2011
Report Date
March 29, 2011
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
GET
PMA / PMN Number
K943323
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UT, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RETURNED TO THE MANUFACTURER FOR EVALUATION. THE CUSTOMER COMPLAINT CAN BE CONFIRMED. THERE WAS CORROSION ON THE OUTER AND INNER DIAMETER OF THE COLLET HEAD AND IN BETWEEN THE COLLET FINGER SLOTS. THIS CORROSION CAN CAUSE THE DEVICE TO NOT FULLY GRIP OR RETAIN THE PIN. THE CORROSION WAS LIKELY CAUSED BY IMPROPER CLEANING AND STERILIZATION OF PRODUCT. A REPLACEMENT DEVICE WAS SENT TO THE CUSTOMER.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE COLLET WILL NOT HOLD K WIRE DURING A PROCEDURE. THERE WERE NO ADVERSE CONSEQUENCES RELATED TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PIN COLLET GET STRYKER INSTRUMENTS KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 UNK