FDA Adverse Event Malfunction Summary report: N

SAGITTAL SAW ATTACHMENT

MDR report key: 3083745 · Received April 29, 2013

Report

Report Number
0001811755-2013-00959
Event Type
Malfunction
Date Received
April 29, 2013
Date of Event
April 18, 2013
Report Date
April 18, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HWE
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

IT IS NOT POSSIBLE TO DETERMINE THE CAUSE OF THE EVENT WITHOUT AN EVALUATION OF THE DEVICE. ADDITIONAL INFORMATION WILL BE SUBMITTED WHEN THE DEVICE IS RECEIVED AND EVALUATED.

Additional Manufacturer Narrative · 1

THE REPORTED EVENT WAS NOT DUPLICATED AND NO FAILURES WERE CONFIRMED AS THE PRODUCT FOR THIS INVESTIGATION WAS NOT AVAILABLE FOR EVALUATION. DEVICE NOT RETURNED FOR ANALYSIS.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SAGITTAL SAW ATTACHMENT WAS GETTING WARM DURING PERFORMANCE TESTING. THE EVENT OCCURRED DURING A ROUTINE FIELD SERVICE MAINTENANCE VISIT; NO ADVERSE EVENT WAS ASSOCIATED WITH THE DEVICE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SAGITTAL SAW ATTACHMENT WAS GETTING WARM DURING PERFORMANCE TESTING. THE EVENT OCCURRED DURING A ROUTINE FIELD SERVICE MAINTENANCE VISIT; NO ADVERSE EVENT WAS ASSOCIATED WITH THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
183385 SAGITTAL SAW ATTACHMENT INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT HWE STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1