FDA Adverse Event Malfunction Summary report: N

UNIVERSAL HIGH TORQUE DRILL

MDR report key: 2140376 · Received June 17, 2011

Report

Report Number
1811755-2011-02179
Event Type
Malfunction
Date Received
June 17, 2011
Date of Event
May 24, 2011
Report Date
May 24, 2011
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
ERL
PMA / PMN Number
K040300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DRILL WAS RECEIVED BY THE MANUFACTURER AND THE COMPLAINT WAS CONFIRMED. INTERNAL COMPONENTS WERE EVALUATED, WHICH REVEALED CORROSION DAMAGE IN THE ROTOR ASSEMBLY AND BEARINGS. THE PRESENCE OF CORROSION ON INTERNAL COMPONENTS CAN INCREASE THE LOAD CURRENT AND CAUSE THE MOTOR ASSEMBLY CABLE TO OVERHEAT. THE ROTOR ASSEMBLY, BEARINGS, AND MOTOR ASSEMBLY WERE REPLACED, AND THE DRILL WAS RETURNED TO THE USER FACILITY.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING EQUIPMENT TESTING CONDUCTED BY A MANUFACTURER SALES REPRESENTATIVE, THE DRILL CORD HEATED UP. THIS EVENT DID NOT OCCUR DURING A SURGICAL PROCEDURE, SO THERE WAS NO PATIENT 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 UNIVERSAL HIGH TORQUE DRILL ERL STRYKER INSTRUMENTS KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 UNK