FDA Adverse Event Malfunction Summary report: N

EXTRA LONG ANGLED SABER ATTACHMENT

MDR report key: 2130043 · Received May 5, 2011

Report

Report Number
1811755-2011-01533
Event Type
Malfunction
Date Received
May 5, 2011
Date of Event
April 7, 2011
Report Date
April 7, 2011
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
ERL
PMA / PMN Number
K040300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DRILL ATTACHMENT WAS RETURNED TO THE MANUFACTURER FOR AN UNRELATED ISSUE AND UPON EVALUATION, AN OVERHEATING CONDITION WAS DISCOVERED. INTERNAL COMPONENTS WERE EVALUATED, WHICH REVEALED THAT THE BEARINGS WERE SEIZED AND CONTAMINATED WITH AN UNK SUBSTANCE. IF BEARINGS ARE UNABLE TO ROTATE FREELY, EXCESSIVE FRICTION MAY RESULT AMONG ROTATING COMPONENTS, CAUSING HEAT GENERATION. THE DRILL ATTACHMENT COULD NOT BE REPAIRED AND THEREFORE, WAS NOT RETURNED TO THE USER FACILITY.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING TESTING CONDUCTED AT THE MANUFACTURER, THE DRILL ATTACHMENT HEATED UP. THIS EVENT DID NOT OCCUR IN A SURGICAL ENVIRONMENT, SO THERE WAS NO PT INVOLVEMENT. NO USER INJURY WAS REPORTED, AND NO OTHER ADVERSE CONSEQUENCES WERE ALLEGED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EXTRA LONG ANGLED SABER ATTACHMENT ERL STRYKER INSTRUMENTS KALAMAZOO 09138

Patients

Seq Age Sex Outcome Treatment
1 UNK