FDA Adverse Event Malfunction Summary report: N

CORDLESS DRIVER HIGH SPEED BUR ATTACHMENT

MDR report key: 3132297 · Received May 29, 2013

Report

Report Number
0001811755-2013-01221
Event Type
Malfunction
Date Received
May 29, 2013
Date of Event
May 1, 2013
Report Date
May 1, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HRX
PMA / PMN Number
K943323
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE REPORTED EVENT OF OVERHEATING WAS DUPLICATED BY THE QUALITY SPECIALIST THROUGH FUNCTIONAL EVALUATION. THE APPEARANCE OF CORROSION WAS OBSERVED IN THE FIELD AND UPON DISASSEMBLY, A LACK OF LUBRICATION WAS FOUND TO BE AFFECTING THE BEARING IN THE UPPER ASSEMBLY. THE PRESENCE OF CORROSION AND A LACK OF LUBRICATION IS LIKELY TO CAUSE OR CONTRIBUTE TO THE REPORTED EVENT.

Additional Manufacturer Narrative · 1

FAILURE ANALYSIS IN PROGRESS.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING TESTING CONDUCTED AT THE USER FACILITY THE DEVICE WAS OVERHEATING. NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE ALLEGED WITH THIS EVENT. AS THIS EVENT OCCURRED DURING TESTING AT THE USER FACILITY, THERE WAS NO PATIENT INVOLVEMENT AND NO DELAY TO A SURGICAL PROCEDURE.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING TESTING CONDUCTED AT THE USER FACILITY THE DEVICE WAS OVERHEATING. NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE ALLEGED WITH THIS EVENT. AS THIS EVENT OCCURRED DURING TESTING AT THE USER FACILITY, THERE WAS NO PATIENT INVOLVEMENT AND NO DELAY TO A SURGICAL PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
236514 CORDLESS DRIVER HIGH SPEED BUR ATTACHMENT ARTHROSCOPE HRX STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1