FDA Adverse Event Malfunction Summary report: N

MICRO SAGITTAL SAW

MDR report key: 2896531 · Received November 20, 2012

Report

Report Number
1811755-2012-04130
Event Type
Malfunction
Date Received
November 20, 2012
Date of Event
October 31, 2012
Report Date
October 31, 2012
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
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

CORROSION WAS DISCOVERED THROUGHOUT THE INTERNAL COMPONENTS OF THE DEVICE, INCLUDING THE MOTOR CARTRIDGE, WHICH IS A PROBABLE CAUSE OF THE DEVICE RUNNING UNINTENTIONALLY.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING TESTING CONDUCTED AT THE MFR FACILITY, THAT THE SAW WAS RUNNING UNINTENTIONALLY. NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE ALLEGED WITH THIS EVENT. AS THIS EVENT OCCURRED DURING TESTING AT THE MFR FACILITY, THERE WAS NO PT INVOLVEMENT AND NO DELAY TO A SURGICAL PROCEDURE.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 UNK