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