FDA Adverse Event Malfunction Summary report: N

1/8" HEX DRIVE

MDR report key: 3083074 · Received April 29, 2013

Report

Report Number
0002249697-2013-01474
Event Type
Malfunction
Date Received
April 29, 2013
Date of Event
April 8, 2013
Report Date
April 8, 2013
Manufacturer
STRYKER ORTHOPAEDICS-MAHWAH
Product Code
JWH
PMA / PMN Number
K123166
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

WHEN COMPLETED, THE EVALUATION SUMMARY WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.

Additional Manufacturer Narrative · 1

THE INVESTIGATION DETERMINED THE LIKELY ROOT CAUSE OF THE EVENT TO BE NORMAL WEAR AND TEAR. THERE IS NO INDICATION AT THIS TIME THAT THE DESIGN, MATERIALS, OR MANUFACTURING OF THE SUBJECT DEVICE CONTRIBUTED TO THE EVENT. A REVIEW OF THE DEVICE HISTORY RECORDS INDICATES THAT THE REPORTED DEVICES WERE MANUFACTURED AND ACCEPTED INTO FINAL STOCK WITH NO REPORTED DISCREPANCIES. THE COMPLAINT HISTORY REVIEW INDICATED THAT THERE WERE NO SIMILAR EVENTS FOR THE REPORTED LOT. IF ADDITIONAL INFORMATION BECOMES AVAILABLE, THIS INVESTIGATION WILL BE REOPENED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE HEX SCREWDRIVER IS WORN OUT FROM OVER USAGE. THE TIP IS STRIPPED AND WILL NOT ENGAGE THE SCREWS WELL ENOUGH TO TIGHTEN. WE OPENED ANOTHER MISC TRAY AND USED THE HEX SCREWDRIVER OUT OF THAT PAN.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE HEX SCREWDRIVER IS WORN OUT FROM OVER USAGE. THE TIP IS STRIPPED AND WILL NOT ENGAGE THE SCREWS WELL ENOUGH TO TIGHTEN. WE OPENED ANOTHER MISC TRAY AND USED THE HEX SCREWDRIVER OUT OF THAT PAN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
183619 1/8" HEX DRIVE INSTRUMENT JWH STRYKER ORTHOPAEDICS-MAHWAH SC1902

Patients

Seq Age Sex Outcome Treatment
1 Other