FDA Adverse Event
Malfunction
Summary report: N
SAGITTAL SAW
MDR report key: 2160815
·
Received June 30, 2011
Report
- Report Number
- 1811755-2011-02326
- Event Type
- Malfunction
- Date Received
- June 30, 2011
- Date of Event
- June 9, 2011
- Report Date
- June 9, 2011
- Manufacturer
- STRYKER INSTRUMENTS KALAMAZOO
- Product Code
- KIJ
- PMA / PMN Number
- K972367
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE HANDPIECE WAS RECEIVED AT THE MFR FOR EVAL, BUT BASED ON THE QA INVESTIGATION DETAILS THE REPORTED CONDITION OF THE DEVICE LEAKING OIL COULD NOT BE DUPLICATED. SERVICE REPLACED SOME COMPONENTS AS PART OF NORMAL PREVENTIVE MAINTENANCE.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE HANDPIECE WAS LEAKING OIL. THIS WAS NOT DURING A SURGICAL PROCEDURE. THERE WAS NO PT INVOLVEMENT. THERE WERE NO ADVERSE CONSEQUENCES REPORTED AS A RESULT OF THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SAGITTAL SAW | KIJ | STRYKER INSTRUMENTS KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |