FDA Adverse Event Malfunction Summary report: N

SYS 7 HIGH SPEED PRECISION SAW

MDR report key: 2933296 · Received January 29, 2013

Report

Report Number
0001811755-2013-00098
Event Type
Malfunction
Date Received
January 29, 2013
Date of Event
January 17, 2013
Report Date
January 17, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HWE
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DURING THE SERVICE INSPECTION A SAMPLE WAS TAKEN. ALTHOUGH THERE WAS NO EVIDENCE OF ACTIVE LEAKING FOUND, THE PRESENCE OF A SUBSTANCE THAT MAY HAVE EMITTED FROM THE HANDPIECE IS LIKELY TO BE CAUSED OR CONTRIBUTED TO BY FLUID INSIDE OF THE DEVICE. ACCORDING TO A REVIEW OF RISK DOCUMENTATION AND BASED ON PREVIOUS COMPLAINTS WITH SIMILAR EVENT DESCRIPTIONS, A POSSIBLE CAUSE OF THIS FAILURE IS NOT SUFFICIENTLY DRYING THE HANDPIECE AFTER THE WASH CYCLE.

Additional Manufacturer Narrative · 1

THE DEVICE WAS RECEIVED FOR EVALUATION; ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE QUALITY INVESTIGATION IS COMPLETED.

Description of Event or Problem · 1

THE SYSTEM 7 HIGH SPEED PRECISION SAW WAS SENT FOR EVALUATION DUE TO LEAKING AN UNKNOWN SUBSTANCE DURING TESTING. THERE WAS NO PATIENT INVOLVEMENT AND NO ADVERSE CONSEQUENCES ASSOCIATED WITH THE DEVICE.

Description of Event or Problem · 1

THE SYSTEM 7 HIGH SPEED PRECISION SAW WAS SENT FOR EVALUATION DUE TO LEAKING AN UNKNOWN SUBSTANCE DURING TESTING. THERE WAS NO PATIENT INVOLVEMENT AND NO ADVERSE CONSEQUENCES ASSOCIATED WITH THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
39739 SYS 7 HIGH SPEED PRECISION SAW INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT HWE STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1