FDA Adverse Event Malfunction Summary report: N

CORDLESS DRIVER 3

MDR report key: 3043496 · Received April 9, 2013

Report

Report Number
0001811755-2013-00729
Event Type
Malfunction
Date Received
April 9, 2013
Date of Event
March 19, 2013
Report Date
March 20, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HRX
PMA / PMN Number
K943323
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RECEIVED FOR EVALUATION FOR THE REPORTED OVERHEATING. UPON DISASSEMBLY FOR VISUAL EXAMINATION, THE ALLEGED FAILURE COULD NOT BE DUPLICATED AND NO COMPONENTS WERE IDENTIFIED WHICH WOULD HAVE LIKELY CAUSED OR CONTRIBUTED TO THE REPORTED FAILURE. THE DEVICE WAS SERVICED FOR PREVENTIVE MAINTENANCE, AND RETURNED TO THE USER FACILITY.

Additional Manufacturer Narrative · 1

ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE DEVICE EVALUATION IS COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE CORDLESS DRIVER WAS OVERHEATING DURING A PROCEDURE. NO ADVERSE EVENT WAS ASSOCIATED WITH THE DEVICE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE CORDLESS DRIVER WAS OVERHEATING DURING A PROCEDURE. NO ADVERSE EVENT WAS ASSOCIATED WITH THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
145758 CORDLESS DRIVER 3 ARTHROSCOPE HRX STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1