FDA Adverse Event
Malfunction
Summary report: N
MAESTRO STRAIGHT AM ATTACHMENT
MDR report key: 2230992
·
Received July 19, 2011
Report
- Report Number
- 1811755-2011-02609
- Event Type
- Malfunction
- Date Received
- July 19, 2011
- Date of Event
- June 22, 2011
- Report Date
- June 22, 2011
- Manufacturer
- STRYKER INSTRUMENTS KALAMAZOO
- Product Code
- HBB
- PMA / PMN Number
- K041754
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING A CRANIOTOMY, THE DRILL ATTACHMENT LEAKED FLUID. BACKUP EQUIPMENT WAS USED TO COMPLETE THE PROCEDURE, WITHOUT CAUSING A DELAY. NO MEDICAL INTERVENTION OR ADDITIONAL TREATMENT WAS REQUIRED FOR THE PT. NO PT OR USER INJURY WAS REPORTED, AND NO OTHER ADVERSE CONSEQUENCES WERE ALLEGED WITH THIS EVENT. ATTEMPTS TO OBTAIN ADDITIONAL INFO FROM THE USER FACILITY WERE UNSUCCESSFUL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MAESTRO STRAIGHT AM ATTACHMENT | HBB | STRYKER INSTRUMENTS KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |