FDA Adverse Event
Malfunction
Summary report: N
FIXED DURAGUARD, 16MM
MDR report key: 2243671
·
Received July 28, 2011
Report
- Report Number
- 1811755-2011-02692
- Event Type
- Malfunction
- Date Received
- July 28, 2011
- Date of Event
- April 15, 2011
- Report Date
- April 15, 2011
- Manufacturer
- STRYKER INSTRUMENTS KALAMAZOO
- Product Code
- HBE
- PMA / PMN Number
- K032303
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE DRILL ATTACHMENT WAS RETURNED TO THE MFR FOR AN UNRELATED ISSUE AND UPON EVAL, AN OVERHEATING CONDITION WAS FOUND. THE OVERHEATING CONDITION WAS CAUSED BY LUBRICATION LOSS WITHIN THE BEARINGS, RESULTING IN EXCESSIVE FRICTION AND HEAT GENERATION. THE DRILL ATTACHMENT COULD NOT BE REPAIRED AND THEREFORE WAS NOT RETURNED TO THE USER FACILITY.
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING TESTING CONDUCTED AT THE U.S. MFR, THE DRILL ATTACHMENT HEATED UP. THIS EVENT DID NOT OCCUR IN A SURGICAL ENVIRONMENT, SO THERE WAS NO PT INVOLVEMENT. NO USER INJURY WAS REPORTED, AND NO OTHER ADVERSE CONSEQUENCES WERE ALLEGED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | FIXED DURAGUARD, 16MM | HBE | STRYKER INSTRUMENTS KALAMAZOO | 10356 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |