FDA Adverse Event
Malfunction
Summary report: N
MICRO RECIPROCATING SAW
MDR report key: 2941845
·
Received December 21, 2012
Report
- Report Number
- 1811755-2012-04313
- Event Type
- Malfunction
- Date Received
- December 21, 2012
- Date of Event
- November 29, 2012
- Report Date
- November 29, 2012
- Manufacturer
- STRYKER INSTRUMENTS KALAMAZOO
- Product Code
- ERL
- PMA / PMN Number
- K040300
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
CORROSION WAS FOUND IN THE MOTOR AND DAMAGE WAS FOUND IN THE CONTACT PINS, WHICH ARE PROBABLE CAUSES OF THE DEVICE RUNNING WITHOUT USER ACTIVATION.
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING A SURGICAL PROCEDURE AT THE USER FACILITY, THE SAW WAS RUNNING SLOWLY WITHOUT USER ACTIVATION, AFTER HAVING BEEN IN USE. THE PROCEDURE WAS COMPLETED WITH THE SAME DEVICE WITHOUT A DELAY; NO ADVERSE CONSEQUENCES OR MEDICAL INTERVENTION WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MICRO RECIPROCATING SAW | ERL | STRYKER INSTRUMENTS KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |