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 |