FDA Adverse Event Malfunction Summary report: N

MICRO SAGITTAL SAW

MDR report key: 2213831 · Received August 4, 2011

Report

Report Number
1811755-2011-02820
Event Type
Malfunction
Date Received
August 4, 2011
Date of Event
July 8, 2011
Report Date
July 8, 2011
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
ERL
PMA / PMN Number
K040300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AR, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS EVALUATED BY THE MFR AND THE EVENT AS REPORTED BY THE CUSTOMER WAS DUPLICATED. THE DEVICE IS STILL PENDING INVESTIGATION. THIS REPORT WILL BE UPDATED WHEN THE EVAL IS COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE HANDPIECE WAS RUNNING WITH THE SAFETY ON. THIS WAS DISCOVERED DURING A PROCEDURE. A BACKUP UNIT WAS USED TO COMPLETE THE PROCEDURE. THERE WAS NO MEDICAL INTERVENTION REQUIRED AND NO DELAY IN THE PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MICRO SAGITTAL SAW ERL STRYKER INSTRUMENTS KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 UNK