FDA Adverse Event Injury Summary report: N

MICRO OSCILLATING SAW

MDR report key: 2982895 · Received February 28, 2013

Report

Report Number
0001811755-2013-00396
Event Type
Injury
Date Received
February 28, 2013
Date of Event
February 1, 2013
Report Date
February 1, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
ERL
PMA / PMN Number
K040300
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DURING THE DEVICE EVALUATION, CORROSION WAS FOUND IN THE MOTOR, ROTOR AND ECCENTRIC GEAR. INCREASED FRICTION DUE TO CORROSION IS A PROBABLE CAUSE OF THE REPORTED OVERHEATING.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A SURGICAL PROCEDURE AT THE USER FACILITY, THE DEVICE OVERHEATED. A DELAY OF 15 MINUTES TO THE PROCEDURE WAS REPORTED, AND ADDITIONAL ANESTHESIA WAS ADMINISTERED. A BACKUP DEVICE WAS USED TO COMPLETE THE CASE. IT WAS REPORTED THAT THE PROCEDURE WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
86280 MICRO OSCILLATING SAW DRILL, SURGICAL, ENT (ELECTRIC OR PNEUMATIC) INCLUDING HANDPIECE ERL STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 Other