FDA Adverse Event Malfunction Summary report: N

CORDLESS DRIVER 3

MDR report key: 2990202 · Received March 5, 2013

Report

Report Number
0001811755-2013-00440
Event Type
Malfunction
Date Received
March 5, 2013
Date of Event
February 19, 2013
Report Date
February 20, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HRX
PMA / PMN Number
K943323
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DURING THE DEVICE EVALUATION, A SHORT CIRCUIT WAS FOUND IN THE MOTOR WINDING, WHICH IS A PROBABLE CAUSE OF THE REPORTED OVERHEATING. THE DEVICE HAS BEEN REPAIRED, BUT IT HAS NOT BEEN RETURNED TO THE USER FACILITY AT THIS TIME.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A SURGICAL PROCEDURE AT THE USER FACILITY, THE DEVICE WAS OVERHEATING. THE PROCEDURE WAS COMPLETED SUCCESSFULLY. 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
93481 CORDLESS DRIVER 3 ARTHROSCOPE HRX STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1