FDA Adverse Event Malfunction Summary report: N

CORDLESS DRIVER HIGH SPEED BUR ATTACHMENT

MDR report key: 3083690 · Received April 29, 2013

Report

Report Number
0001811755-2013-00956
Event Type
Malfunction
Date Received
April 29, 2013
Date of Event
April 12, 2013
Report Date
April 12, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HRX
PMA / PMN Number
K943323
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE REPORTED EVENT OF OVERHEATING WAS CONFIRMED THROUGH FUNCTIONAL EVALUATION. UPON DISASSEMBLY, INTERNAL CORROSION AND DEBRIS WERE FOUND. THE PRESENCE OF CORROSION/DEBRIS IS LIKELY TO CAUSE OR CONTRIBUTE TO THE REPORTED EVENT DUE TO INCREASED FRICTION. THE ATTACHMENT IS NOT A REPAIRABLE DEVICE AND WILL THEREFORE NOT BE 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 HIGH SPEED BUR ATTACHMENT WAS OVERHEATING DURING PERFORMANCE TESTING. THE EVENT OCCURRED DURING A ROUTINE MAINTENANCE VISIT. NO ADVERSE EVENT WAS ASSOCIATED WITH THE DEVICE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE CORDLESS DRIVER HIGH SPEED BUR ATTACHMENT WAS OVERHEATING DURING PERFORMANCE TESTING. THE EVENT OCCURRED DURING A ROUTINE MAINTENANCE VISIT. NO ADVERSE EVENT WAS ASSOCIATED WITH THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
183763 CORDLESS DRIVER HIGH SPEED BUR ATTACHMENT ARTHROSCOPE HRX STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1