FDA Adverse Event Malfunction Summary report: N

MICRO RECIPROCATING SAW

MDR report key: 2090689 · Received April 19, 2011

Report

Report Number
1811755-2011-01312
Event Type
Malfunction
Date Received
April 19, 2011
Date of Event
January 12, 2011
Report Date
February 11, 2011
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
ERL
PMA / PMN Number
K040300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE HANDPIECE WAS RECEIVED AT THE MFR FOR SERVICE AND EVAL. DURING THE INVESTIGATION, AN OVERHEATING CONDITION WAS FOUND. BASED ON THE INVESTIGATION DETAILS, THE PRIMARY CAUSE WAS CORROSION DAMAGE IN THE HANDPIECE. THE MOTOR, PRESS PLUG, FRONT HOUSING, BEARINGS, AND DRIVESHAFT WERE EACH REPLACED ALONG WITH OTHER COMPONENTS. SERVICE REPAIRED AND RETURNED THE DEVICE TO THE CUSTOMER.

Description of Event or Problem · 1

THE HANDPIECE WAS RETURNED TO THE MFR FOR SERVICE, AND DURING THE INVESTIGATION, THE DEVICE OVERHEATED. THERE WAS NO PT INVOLVEMENT DURING THIS EVENT. THIS DID NOT OCCUR DURING A SURGICAL PROCEDURE. THERE WERE NO ADVERSE CONSEQUENCES REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MICRO RECIPROCATING SAW ERL STRYKER INSTRUMENTS KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 UNK