FDA Adverse Event Malfunction Summary report: N

CORE MICRO DRILL

MDR report key: 2771451 · Received September 28, 2012

Report

Report Number
1811755-2012-03680
Event Type
Malfunction
Date Received
September 28, 2012
Date of Event
September 11, 2012
Report Date
September 11, 2012
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
DZJ
PMA / PMN Number
K040369
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE ALLEGED FAILURE OF OVERHEATING COULD NOT BE DUPLICATED DURING THE DEVICE EVAL. HOWEVER, IT WAS NOTICED THAT A BEARING ON THE ROTOR WAS NOT TURNING SMOOTHLY, WHICH CAN BE A CAUSE OF OVERHEATING.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING AN EXTRACTION PROCEDURE AT THE USER FACILITY, THE DRILL WAS OVERHEATING. BACK-UP EQUIPMENT WAS USED TO COMPLETE THE PROCEDURE. NO CLINICALLY SIGNIFICANT DELAY, NO ADVERSE CONSEQUENCES AND NO MEDICAL INTERVENTION WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CORE MICRO DRILL DZJ STRYKER INSTRUMENTS KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 UNK