FDA Adverse Event Malfunction Summary report: N

CORDLESS DRIVER 2 HANDPIECE

MDR report key: 2955100 · Received February 11, 2013

Report

Report Number
0001811755-2013-00247
Event Type
Malfunction
Date Received
February 11, 2013
Date of Event
January 24, 2013
Report Date
January 29, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HRX
PMA / PMN Number
K943323
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ME, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DURING THE DEVICE EVALUATION THE ALLEGED FAILURE OF BALL BEARINGS FALLING OUT OF THE DEVICE COULD NOT BE DUPLICATED. NO LOOSE BALL BEARINGS WERE FOUND WITHIN THE DEVICE, AND NO BALL BEARINGS WERE FALLING OUT OF THE DEVICE.

Description of Event or Problem · 1

IT WAS REPORTED THAT AT THE USER FACILITY, BALL BEARINGS WERE FALLING OUT OF THE CORDLESS DRIVER. UPON FOLLOW-UP, THE USER FACILITY WAS NOT ABLE TO PROVIDE ANY FURTHER INFORMATION REGARDING THE REPORTED EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
58643 CORDLESS DRIVER 2 HANDPIECE ARTHROSCOPE HRX STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1