FDA Adverse Event Malfunction Summary report: N

REMB OSC SAW

MDR report key: 2130038 · Received May 5, 2011

Report

Report Number
1811755-2011-01617
Event Type
Malfunction
Date Received
May 5, 2011
Date of Event
October 25, 2010
Report Date
October 25, 2010
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
HBE
PMA / PMN Number
K032303
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

FURTHER INVESTIGATION REVEALED A BROKEN BALL BEARING AND A CORRODED MOTOR ASSEMBLY. THE CORRODED MOTOR ASSEMBLY WAS IDENTIFIED AS THE PROBABLE CAUSE OF THE FAILURE SINCE AN INTERMITTENT CONNECTION AT THE ANALOG GROUND PIN MAY RESULT FROM THIS CORROSION AND CAUSE THE DEVICE TO RUN ON ITS OWN W/O ACTIVATION. THE DEVICE WAS REPAIRED AND RETURNED TO THE CUSTOMER.

Description of Event or Problem · 1

THE REMB OSCILLATING SAW WAS SENT IN FOR REPAIR AND IT RAN ON ITS OWN W/O ACTIVATION DURING TESTING. THERE WAS NO PT INVOLVEMENT; NO ADVERSE EVENT WAS ASSOCIATED WITH THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 REMB OSC SAW HBE STRYKER INSTRUMENTS KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 UNK