FDA Adverse Event Malfunction Summary report: N

MICRO SAGITTAL SAW

MDR report key: 2241582 · Received September 2, 2011

Report

Report Number
1811755-2011-03238
Event Type
Malfunction
Date Received
September 2, 2011
Date of Event
August 2, 2011
Report Date
August 5, 2011
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
ERL
PMA / PMN Number
K040300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS EVALUATED BY THE MFR AND THE EVENT AS REPORTED WAS DUPLICATED. THE BALL BEARING ON THE ROTOR HAS SHATTERED, THERE IS CORROSION AND DEBRIS THROUGH THE INSIDE OF THE HANDPIECE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE HANDPIECE WAS OVERHEATING 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 MICRO SAGITTAL SAW ERL STRYKER INSTRUMENTS KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 UNK