FDA Adverse Event Malfunction Summary report: N

SYSTEM 7 RECIP SAW

MDR report key: 2911284 · Received January 11, 2013

Report

Report Number
0001811755-2013-00006
Event Type
Malfunction
Date Received
January 11, 2013
Date of Event
December 27, 2012
Report Date
December 27, 2012
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HAW
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

FAILURE ANALYSIS IS IN PROGRESS; ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE QUALITY INVESTIGATION IS COMPLETED. FAILURE ANALYSIS IS IN PROGRESS; ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE QUALITY INVESTIGATION IS COMPLETED.

Additional Manufacturer Narrative · 1

IT WAS NOTED DURING FAILURE ANALYSIS THAT THERE WAS CORROSION IN THE TRIGGER ASSEMBLY, THIS CAN RESULT IN RUN-ON, HOWEVER NO RUN-ON WAS OBSERVED. THIS LIKELY OCCURRED DUE TO NOT FOLLOWING RECOMMENDED CLEANING AND STERILIZATION METHODS.

Description of Event or Problem · 1

THE SYSTEM 7 RECIPROCATING SAW WAS SENT FOR EVALUATION DUE TO RUNNING ON ITS OWN DURING A ROUTINE FIELD SERVICE MAINTENANCE VISIT. THERE WAS NO PATIENT INVOLVEMENT AND NO ADVERSE CONSEQUENCES ASSOCIATED WITH THE DEVICE.

Description of Event or Problem · 1

THE SYSTEM 7 RECIPROCATING SAW WAS SENT FOR EVALUATION DUE TO RUNNING ON ITS OWN DURING A ROUTINE FIELD SERVICE MAINTENANCE VISIT. THERE WAS NO PATIENT INVOLVEMENT AND NO ADVERSE CONSEQUENCES ASSOCIATED WITH THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
19106 SYSTEM 7 RECIP SAW INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT HAW STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1