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 |