FDA Adverse Event Malfunction Summary report: N

MAESTRO DRILL WITH HANDSWITCH

MDR report key: 2963043 · Received January 24, 2013

Report

Report Number
1811755-2013-90115
Event Type
Malfunction
Date Received
January 24, 2013
Date of Event
December 20, 2012
Report Date
December 20, 2012
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
HBB
PMA / PMN Number
K041754
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

INTERNAL COMPONENTS WERE EVALUATED WHICH REVEALED THAT THE NEEDLE VALVE OF THE HANDSWITCH HAD FAILED. THE REASON FOR THE SERIALIZATION STARTING WITH (B)(4) ISD TO PROVIDE CLARIFICATION FOLLOWING A CHANGE IN STRYKER'S ELECTRONIC COMPLAINT SYSTEMS.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A PROCEDURE THE DEVICE OPERATED AUTOMATICALLY WITHOUT USER ACTIVATION. A BACK-UP DEVICE WAS USED TO COMPLETE THE PROCEDURE. THERE WAS NO DELAY IN THE PROCEDURE AND AND NO ADVERSE CONSEQUENCES ALLEGED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
34849 MAESTRO DRILL WITH HANDSWITCH HBB STRYKER INSTRUMENTS KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 UNK