FDA Adverse Event Malfunction Summary report: N

MICRO SAGITTAL SAW

MDR report key: 2771438 · Received September 28, 2012

Report

Report Number
1811755-2012-03699
Event Type
Malfunction
Date Received
September 28, 2012
Date of Event
September 12, 2012
Report Date
September 13, 2012
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
ERL
PMA / PMN Number
K040300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

CORROSION WAS DISCOVERED IN THE INTERNAL COMPONENTS OF THE DEVICE, INCLUDING THE MOTOR, WHICH IS A PROBABLE CAUSE OF THE DEVICE SPEEDING UP AND SLOWING DOWN WITHOUT USER ACTIVATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A BUNIONECTOMY AT THE USER FACILITY, THE SAW WOULD SPEED UP AND SLOW DOWN WITHOUT THE USER CHANGING THE SPEED. BACK-UP EQUIPMENT WAS USED TO COMPLETE THE PROCEDURE. NO DELAY, NO ADVERSE CONSEQUENCES AND NO MEDICAL INTERVENTION WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MICRO SAGITTAL SAW ERL STRYKER INSTRUMENTS KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 UNK