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 |