FDA Adverse Event Malfunction Summary report: N

MICRO OSCILLATING SAW

MDR report key: 2950754 · Received February 8, 2013

Report

Report Number
0001811755-2013-00210
Event Type
Malfunction
Date Received
February 8, 2013
Date of Event
January 22, 2013
Report Date
January 22, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
ERL
PMA / PMN Number
K040300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DURING THE DEVICE EVALUATION, CORROSION WAS DISCOVERED THROUGHOUT THE INTERNAL COMPONENTS OF THE DEVICE, INCLUDING THE MOTOR, WHICH IS A PROBABLE CAUSE OF THE REPORTED BIAS CURRENT ERROR. THE DEVICE HAS BEEN REPAIRED, BUT IT HAS NOT BEEN RETURNED TO THE USER FACILITY AT THIS TIME.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING EQUIPMENT TESTING CONDUCTED BY A MANUFACTURER FIELD SERVICE TECHNICIAN AT THE USER FACILITY, THE SAW CAUSED A BIAS CURRENT WARNING TO BE DISPLAYED ON THE CONSOLE, SIGNALING A CONDITION OCCURRED IN WHICH THE DEVICE HAS THE POTENTIAL TO RUN WITHOUT USER ACTIVATION. NO PATIENT INVOLVEMENT, NO DELAY, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE ALLEGED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
53711 MICRO OSCILLATING SAW DRILL, SURGICAL, ENT (ELECTRIC OR PNEUMATIC) INCLUDING HANDPIECE ERL STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1