FDA Adverse Event Malfunction Summary report: N

MICRO SAGITTAL SAW

MDR report key: 2101928 · Received May 18, 2011

Report

Report Number
1811755-2011-01806
Event Type
Malfunction
Date Received
May 18, 2011
Date of Event
April 20, 2011
Report Date
April 20, 2011
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
ERL
PMA / PMN Number
K040300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

DURING FAILURE ANALYSIS VISUAL EXAMINATION REVEALED WORN/DAMAGED INTERNAL COMPONENTS. CORROSION DAMAGE WITHIN THE MOTOR, ROTOR, PRESS PLUG AND BEARINGS WAS NOTED. THE DAMAGED PARTS WERE REPLACED AND THE DEVICE WAS REPAIRED, CLEANED, LUBED, ADJUSTED AND RETURNED TO THE CUSTOMER.

Description of Event or Problem · 1

THE STRYKER MICRO SAGITTAL SAW WAS SENT FOR EVAL DUE TO OVERHEATING DURING A PROCEDURE. NO ADVERSE EVENT WAS ASSOCIATED WITH THE DEVICE. ANOTHER DEVICE WAS USED TO COMPLETE THE PROCEDURE.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 UNK