FDA Adverse Event
Malfunction
Summary report: N
CORE MICRO DRILL
MDR report key: 2121127
·
Received May 4, 2011
Report
- Report Number
- 1811755-2011-01583
- Event Type
- Malfunction
- Date Received
- May 4, 2011
- Date of Event
- April 7, 2011
- Report Date
- April 11, 2011
- Manufacturer
- STRYKER INSTRUMENTS KALAMAZOO
- Product Code
- ERL
- PMA / PMN Number
- K040300
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE SERVICE TECHNICIAN CONFIRMED THE EVENT AND DETERMINED THE PRIMARY CAUSE WAS FAILURE OF THE MOTOR CARTRIDGE DUE TO CORROSION. THIS CORROSION MAY CAUSE FRICTION LEADING TO THE HEATING DESCRIBED BY THE CUSTOMER. THE DEVICE WAS REPAIRED AND RETURNED TO THE CUSTOMER.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE PRODUCT WAS HEATING UP DURING SURGERY. THEY USED THE SAME HANDPIECE TO COMPLETE THE PROCEDURE. THERE WAS NO MEDICAL INTERVENTION REQUIRED AND NO DELAY IN THE PROCEDURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CORE MICRO DRILL | ERL | STRYKER INSTRUMENTS KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |