FDA Adverse Event Malfunction Summary report: N

CORE MICRO DRILL

MDR report key: 3080287 · Received April 26, 2013

Report

Report Number
0001811755-2013-00912
Event Type
Malfunction
Date Received
April 26, 2013
Date of Event
April 5, 2013
Report Date
April 8, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
ERL
PMA / PMN Number
K040300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CUSTOMER DECIDED NOT TO RETURN THE DEVICE FOR REPAIR BECAUSE THE DEVICE ONLY DISPLAYS AN ERROR ON ONE CONSOLE, AND DOESN'T DISPLAY AN ERROR ON THEIR OTHER CONSOLE. CUSTOMER DECIDED NOT TO RETURN THE DEVICE FOR REPAIR.

Description of Event or Problem · 1

WHILE TESTING THE CORE MICRO DRILL WAS TESTED IT DISPLAYED A BIAS CURRENT MESSAGE WHEN CONNECTED TO THE CONSOLE, SIGNALING A CONDITION OCCURRED FROM WHICH THE DEVICE HAS THE POTENTIAL TO RUN WITHOUT USER ACTIVATION. THERE WAS NO PATIENT INVOLVEMENT AND NO ADVERSE CONSEQUENCES TO THE USER ALLEGED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
183087 CORE MICRO DRILL DRILL, SURGICAL, ENT (ELECTRIC ERL STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1