FDA Adverse Event Malfunction Summary report: N

SAGITTAL SAW ATTACHMENT

MDR report key: 3140312 · Received May 31, 2013

Report

Report Number
0001811755-2013-01264
Event Type
Malfunction
Date Received
May 31, 2013
Date of Event
May 6, 2013
Report Date
May 6, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HWE
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION IS IN PROGRESS. A FOLLOW-UP REPORT WILL BE SUBMITTED ONCE THE QUALITY INVESTIGATION HAS BEEN COMPLETED. INVESTIGATION IS IN PROGRESS. A FOLLOW-UP REPORT WILL BE SUBMITTED ONCE THE QUALITY INVESTIGATION HAS BEEN COMPLETED.

Additional Manufacturer Narrative · 1

UPON DISASSEMBLY FOR VISUAL INSPECTION CORROSION WAS FOUND INSIDE THE ATTACHMENT.

Description of Event or Problem · 1

WHILE TESTING THE SAGITTAL SAW ATTACHMENT AT THE MANUFACTURER IT WAS REPORTED THAT THE DEVICE HEATED UP. THERE WAS NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES REPORTED WITH THIS EVENT.

Description of Event or Problem · 1

WHILE TESTING THE SAGITTAL SAW ATTACHMENT AT THE MANUFACTURER IT WAS REPORTED THAT THE DEVICE HEATED UP. THERE WAS NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES REPORTED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
241800 SAGITTAL SAW ATTACHMENT INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT HWE STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1