FDA Adverse Event Malfunction Summary report: N

K-WIRE CUTTING PLIERS (MAX 1.6MM)

MDR report key: 2191435 · Received July 27, 2011

Report

Report Number
8010177-2011-00212
Event Type
Malfunction
Date Received
July 27, 2011
Date of Event
July 4, 2011
Report Date
July 4, 2011
Manufacturer
STRYKER OSTEOSYNTHESIS FREIBURG
Product Code
LXH
PMA / PMN Number
EXEMPT
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CRACK SHOWS AN INTER-CRYSTALLINE FORCED RUPTURE MODE DUE TO STRESS CRACK CORROSION. THE CRACK OCCURRED DUE TO VERY HIGH COMPRESSIVE FORCES OF THE RETAINING SCREW. THE ROOT CAUSE CAN BE ATTRIBUTED TO A MFG RELATED ISSUE OF TOO HIGH TIGHTENING FORCES APPLIED TO THE SPRING'S RETAINING THE SCREW.

Description of Event or Problem · 1

CRACKS AT INNER SIDE OF THE GRIP PARTS WERE FOUND UPON INSPECTION OF THE RETURNED LONER KIT FROM THE HOSP. THERE WAS NO REPORT FROM THE HOSP ON THIS ISSUE. THEREFORE, THERE IS NO INFO AS TO HOWE THESE CRACKS WERE FORMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 K-WIRE CUTTING PLIERS (MAX 1.6MM) INSTRUMENT LXH STRYKER OSTEOSYNTHESIS FREIBURG NA AB05

Patients

Seq Age Sex Outcome Treatment
1 UNK