FDA Adverse Event
Malfunction
Summary report: N
STRYKER ARTHROSCOPIC SHAVER
MDR report key: 2113463
·
Received May 26, 2011
Report
- Report Number
- MW5020839
- Event Type
- Malfunction
- Date Received
- May 26, 2011
- Date of Event
- May 10, 2011
- Report Date
- May 23, 2011
- Manufacturer
- STRYKER MEDICAL
- Product Code
- HRX
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
ONE OF OUR ORTHOPEDIC SURGEONS WAS PERFORMING AN ARTHROSCOPIC LEFT SHOULDER PROCEDURE ON HIS PT WITH A STRYKER ARTHROSCOPIC SHAVER AND HE NOTICED SMALL METAL SHAVINGS FALLING OFF TIP OF SHAVER. SURGICAL SITE WAS RINSED WITH COPIOUS AMOUNTS OF SOLUTION. WE HAD SAME PROBLEM EARLIER, REPORT AND DEVICE WAS SENT TO ASCENT. (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | STRYKER ARTHROSCOPIC SHAVER | ARTHROSCOPIC SHAVER/BURRS | HRX | STRYKER MEDICAL | 375-940-000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 67 YR |