FDA Adverse Event Malfunction Summary report: N

MICRO SAGITTAL SAW

MDR report key: 2771477 · Received September 28, 2012

Report

Report Number
1811755-2012-03678
Event Type
Malfunction
Date Received
September 28, 2012
Date of Event
August 30, 2012
Report Date
August 30, 2012
Manufacturer
STRYKER INSTRUMENTS, INSTRUMENTS DIV.
Product Code
HBE
PMA / PMN Number
K032303
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

UPON DISASSEMBLY, THE BEARINGS WERE DISCOVERED TO BE DAMAGED AND THE MOTOR WAS CORRODED.

Description of Event or Problem · 1

IT WAS REPORTED BY THE CUSTOMER THAT A MICRO SAGGITAL SAW OVERHEATED. THE ACCOUNT WAS UNABLE TO PROVIDE DETAIL AS TO WHICH SPECIFIC HAND PIECE OVERHEATED, AS SEVERAL WERE PUT INTO A REPAIR BIN TOGETHER. THERE WAS NO PT INVOLVEMENT, AND THERE WERE NO USER INJURIES OR ADVERSE CONSEQUENCES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MICRO SAGITTAL SAW HBE STRYKER INSTRUMENTS, INSTRUMENTS DIV.

Patients

Seq Age Sex Outcome Treatment
1 UNK MICRO SAGGITAL SAW: SN (B)(4)