FDA Adverse Event Malfunction Summary report: N

CAST CUTTER, 8 FOOT CORD "

MDR report key: 3000437 · Received March 12, 2013

Report

Report Number
0001811755-2013-00507
Event Type
Malfunction
Date Received
March 12, 2013
Date of Event
February 25, 2013
Report Date
February 27, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HAB
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE COMPLAINT WAS CONFIRMED. BARE WIRES THAT WERE NOTED TO BE CAUSING ARCING WERE FOUND ON THE ADAPTOR ASSEMBLY WHERE IT WAS ATTACHED TO A NON-STRYKER SWITCH. NON-STRYKER APPROVED WORK OR COMPONENTS CAN CAUSE AN ELECTRICAL ISSUE SUCH AS ARCING WHICH HAS THE POTENTIAL TO CAUSE THE UNIT TO SMOKE AND SPARK AS WELL AS BLOWING BREAKERS AS REPORTED.

Additional Manufacturer Narrative · 1

THE DEVICE WAS RECEIVED FOR EVALUATION; ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE QUALITY INVESTIGATION IS COMPLETED. THE DEVICE WAS RECEIVED FOR EVALUATION; ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE QUALITY INVESTIGATION IS COMPLETED.

Description of Event or Problem · 1

THE CAST CUTTER WAS SENT FOR EVALUATION DUE TO SMOKING WHEN THE DEVICE WAS PLUGGED IN. THERE WAS NO PATIENT INVOLVEMENT AND NO ADVERSE CONSEQUENCES ASSOCIATED WITH THE DEVICE.

Description of Event or Problem · 1

THE CAST CUTTER WAS SENT FOR EVALUATION DUE TO SMOKING WHEN THE DEVICE WAS PLUGGED IN. THERE WAS NO PATIENT INVOLVEMENT AND NO ADVERSE CONSEQUENCES ASSOCIATED WITH THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
103118 CAST CUTTER, 8 FOOT CORD " INSTRUMENT, SURGICAL, ORTHOPEDIC, DC-POWERED MOTOR AND ACCESSORY/ATTACHMENT HAB STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1