FDA Adverse Event
Malfunction
Summary report: N
ASEPTIC BATTER HOUSING
MDR report key: 2431881
·
Received January 6, 2012
Report
- Report Number
- 1811755-2012-00050
- Event Type
- Malfunction
- Date Received
- January 6, 2012
- Date of Event
- December 5, 2011
- Report Date
- December 20, 2011
- Manufacturer
- STRYKER INSTRUMENTS KALAMAZOO
- Product Code
- KIJ
- PMA / PMN Number
- K972367
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
THE PRODUCT WAS RECEIVED AT THE MANUFACTURER FOR EVALUATION BUT BASED ON THE QUALITY INVESTIGATION DETAILS THE REPORTED CONDITION OF THE HOUSING OPENING COULD NOT BE DUPLICATED. THE DEVICE WAS SCRAPPED.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE BATTERY HOUSING OPENED DURING A SURGICAL PROCEDURE. THERE IS NO REPORT THAT THE BATTERY FELL INTO THE SURGICAL SITE. THERE IS NO ALLEGATION OF ADVERSE CONSEQUENCES ASSOCIATED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ASEPTIC BATTER HOUSING | KIJ | STRYKER INSTRUMENTS KALAMAZOO | 04231 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |