FDA Adverse Event Malfunction Summary report: N

CORDLESS DRIVER 3

MDR report key: 2230987 · Received July 19, 2011

Report

Report Number
1811755-2011-02618
Event Type
Malfunction
Date Received
July 19, 2011
Date of Event
June 23, 2011
Report Date
June 23, 2011
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
HRX
PMA / PMN Number
K943323
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN RECEIVED AT THE MANUFACTURER FOR TESTING. A FOLLOW-UP REPORT WILL BE MADE ONCE THE INVESTIGATION HAS BEEN COMPLETED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THERE WERE METAL SHAVINGS COMING OUT OF THE DEVICE DURING TESTING. THERE WAS NO PT INVOLVEMENT AND NO ADVERSE CONSEQUENCES REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CORDLESS DRIVER 3 HRX STRYKER INSTRUMENTS KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 UNK