FDA Adverse Event
Malfunction
Summary report: N
MICRO DRILL MEDIUM STRAIGHT ATTECHMENT
MDR report key: 2369320
·
Received November 7, 2011
Report
- Report Number
- 1811755-2011-04022
- Event Type
- Malfunction
- Date Received
- November 7, 2011
- Date of Event
- October 12, 2011
- Report Date
- October 18, 2011
- Manufacturer
- STRYKER INSTRUMENTS KALAMAZOO
- Product Code
- ERL
- PMA / PMN Number
- K040300
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SF
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED WHILE TESTING THE UNIT AT THE USER FACILITY PRIOR TO A PROCEDURE, THE ATTACHMENT HEATED UP. THIS EVENT DID NOT OCCUR DURING A SURGICAL PROCEDURE, SO THERE WAS NO PT INVOLVEMENT. THERE WAS NO USER INJURY REPORTED AND NO ADVERSE CONSEQUENCES ALLEGED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MICRO DRILL MEDIUM STRAIGHT ATTECHMENT | ERL | STRYKER INSTRUMENTS KALAMAZOO | 11152 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |