FDA Adverse Event Malfunction Summary report: N

SYSTEM 5 SAGITTAL SAW

MDR report key: 2974322 · Received February 22, 2013

Report

Report Number
0001811755-2013-00359
Event Type
Malfunction
Date Received
February 22, 2013
Date of Event
February 6, 2013
Report Date
February 6, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
KIJ
PMA / PMN Number
K972367
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE COMPLAINT WAS CONFIRMED. THE HANDPIECE WAS FOUND TO HAVE POWER LOSS DUE TO A FAULTY CONTROLLER. BASED ON A REVIEW OF COMPLAINT TRENDING, A FAULTY CONTROLLER CAN CAUSE INTERMITTENT OR COMPLETE LOSS OF POWER.

Additional Manufacturer Narrative · 1

THE DEVICE IS AVAILABLE FOR EVALUATION BUT HAS NOT YET BEEN RECEIVED. ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE DEVICE IS RECEIVED AND THE QUALITY INVESTIGATION IS COMPLETE. THE DEVICE IS AVAILABLE FOR EVALUATION BUT HAS NOT YET BEEN RECEIVED. ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE DEVICE IS RECEIVED AND THE QUALITY INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SYSTEM 5 SAGITTAL SAW HAD NO POWER DURING A PROCEDURE, WHICH RESULTED IN A 30 MINUTE DELAY IN THE CASE. THERE WAS NO MEDICAL TREATMENT OR INTERVENTION REQUIRED AS A RESULT OF THIS EVENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SYSTEM 5 SAGITTAL SAW HAD NO POWER DURING A PROCEDURE, WHICH RESULTED IN A 30 MINUTE DELAY IN THE CASE. THERE WAS NO MEDICAL TREATMENT OR INTERVENTION REQUIRED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
78536 SYSTEM 5 SAGITTAL SAW INSTRUMENT, SURGICAL, ORTHOPEDIC, DC-POWERED MOTOR AND ACCESSORY/ATTACHMENT KIJ STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1