FDA Adverse Event Malfunction Summary report: N

CORDLESS DRIVER 3

MDR report key: 2974649 · Received January 17, 2013

Report

Report Number
1811755-2013-90104
Event Type
Malfunction
Date Received
January 17, 2013
Date of Event
December 20, 2012
Report Date
December 20, 2012
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
HRX
PMA / PMN Number
943323
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

DURING THE DEVICE EVALUATION, A DAMAGED MOTOR FET WAS FOUND WHICH WAS IDENTIFIED AS A PROBABLE CAUSE OF THE REPORTED OVERHEATING. THE REASON FOR THE SERIALIZATION STARTING WITH 90XXX IS TO PROVIDE CLARIFICATION FOLLOWING A CHANGE IN STRYKER'S ELECTRONIC COMPLAINT SYSTEMS.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A SURGICAL PROCEDURE AT THE USER FACILITY, THE DEVICE WAS OVERHEATING. 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
27325 CORDLESS DRIVER 3 HRX STRYKER INSTRUMENTS KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 UNK