FDA Adverse Event Malfunction Summary report: N

REMB UNIVERSAL DRIVER

MDR report key: 2754171 · Received September 12, 2012

Report

Report Number
1811755-2012-03477
Event Type
Malfunction
Date Received
September 12, 2012
Date of Event
August 17, 2012
Report Date
August 17, 2012
Manufacturer
STRYKER INSTRUMENTS, INSTRUMENTS DIV.
Product Code
HBE
PMA / PMN Number
K032303
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

A FOLLOW-UP REPORT WILL BE FILED AFTER THE QUALITY INVESTIGATION HAS BEEN COMPLETED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE REMB UNIVERSAL DRIVER HEATED UP DURING A CASE. A BACK-UP DEVICE WAS USED TO COMPLETE THE CASE WITHOUT PT OR USER INJURIES, AND THERE WERE NO ADVERSE CONSEQUENCES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 REMB UNIVERSAL DRIVER HBE STRYKER INSTRUMENTS, INSTRUMENTS DIV.

Patients

Seq Age Sex Outcome Treatment
1 UNK