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 |