FDA Adverse Event Malfunction Summary report: N

ANGLED LONG SABER ATTACHMENT

MDR report key: 2233170 · Received July 22, 2011

Report

Report Number
1811755-2011-02632
Event Type
Malfunction
Date Received
July 22, 2011
Date of Event
June 22, 2011
Report Date
June 23, 2011
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
HBE
PMA / PMN Number
K032303
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS NOT BEEN RETURNED TO THE MFR AS OF THE DATE OF THIS REPORT. THIS REPORT WILL BE UPDATED WHEN THE EVAL IS COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE ATTACHMENT OVERHEATED DURING TESTING. THERE WAS NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES RELATED TO THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ANGLED LONG SABER ATTACHMENT HBE STRYKER INSTRUMENTS KALAMAZOO 11098

Patients

Seq Age Sex Outcome Treatment
1 UNK