BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    1/4 INCH DRILL WITH JACOBS CHUCK

    MDR report key: 3141708 · Received June 3, 2013

    Report

    Report Number
    0001811755-2013-01273
    Event Type
    Malfunction
    Date Received
    June 3, 2013
    Date of Event
    May 16, 2013
    Report Date
    May 16, 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

    UPON VISUAL INSPECTION, THE DEVICE WAS FOUND TO HAVE WORN CHUCK TEETH. THE DEVICE WAS DISCARDED BY THE MANUFACTURER.

    Additional Manufacturer Narrative · 1

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

    Description of Event or Problem · 1

    WHILE TESTING THE 1/4 INCH DRILL WITH (B)(6) 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 1/4 INCH DRILL WITH JACOBS CHUCK 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
    243699 1/4 INCH DRILL WITH JACOBS CHUCK INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT HWE STRYKER INSTRUMENTS-KALAMAZOO

    Patients

    Seq Age Sex Outcome Treatment
    1