FDA Adverse Event Malfunction Summary report: N

TPS HANDPIECE CORD

MDR report key: 2941829 · Received December 21, 2012

Report

Report Number
1811755-2012-04301
Event Type
Malfunction
Date Received
December 21, 2012
Date of Event
December 5, 2012
Report Date
December 5, 2012
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
HRX
PMA / PMN Number
K943323
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

IT IS NOT POSSIBLE TO DETERMINE THE CAUSE OF THE EVENT WITHOUT AN EVAL OF THE DEVICE. ADD'L INFO WILL BE SUBMITTED WHEN THE DEVICE IS RECEIVED AND EVALUATED.

Description of Event or Problem · 1

IT WAS REPORTED THAT A TPS HANDPIECE CORD WAS CAUSING HANDPIECES TO RUN WITHOUT ACTIVATION. THE EVENT OCCURRED DURING A ROUTINE FIELD SERVICE MAINTENANCE VISIT; NO ADVERSE EVENT WAS ASSOCIATED WITH THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TPS HANDPIECE CORD HRX STRYKER INSTRUMENTS KALAMAZOO 07073

Patients

Seq Age Sex Outcome Treatment
1 UNK