FDA Adverse Event Malfunction Summary report: N

CORDLESS DRIVER 3

MDR report key: 2990057 · Received March 5, 2013

Report

Report Number
0001811755-2013-00433
Event Type
Malfunction
Date Received
March 5, 2013
Date of Event
February 12, 2013
Report Date
February 12, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HRX
PMA / PMN Number
K943323
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DURING THE DEVICE EVALUATION, THE REPORTED OVERHEATING COULD NOT BE DUPLICATED. NO ADDITIONAL INFORMATION COULD BE PROVIDED BY THE USER FACILITY UPON FOLLOW UP. ROUTINE MAINTENANCE WAS PERFORMED ON THE DEVICE AND IT WAS RETURNED TO THE USER FACILITY.

Description of Event or Problem · 1

IT WAS REPORTED THAT PRIOR TO A SURGICAL PROCEDURE AT THE USER FACILITY, THE UNIT WAS OVERHEATING. NO PATIENT INVOLVEMENT, 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
93128 CORDLESS DRIVER 3 ARTHROSCOPE HRX STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1