FDA Adverse Event Malfunction Summary report: N

SYSTEM 7 DUAL TRIGGER ROTARY

MDR report key: 3192172 · Received June 27, 2013

Report

Report Number
0001811755-2013-01477
Event Type
Malfunction
Date Received
June 27, 2013
Date of Event
June 11, 2013
Report Date
June 11, 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 HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN RECEIVED, BUT THE EVALUATION HAS NOT YET BEGUN. ADDITIONAL INFORMATION MAY BE SUBMITTED ONCE THE QUALITY INVESTIGATION IS COMPLETE.

Additional Manufacturer Narrative · 1

DURING THE DEVICE EVALUATION, THE REPORTED EVENT OF LEAKING WAS DUPLICATED. IT WAS CONFIRMED THAT THE HANDPIECE HAD GREASE ON THE FRONT BEARING. THIS LIKELY OCCURRED DUE TO NON-RECOMMENDED CLEANING PROCEDURES.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SYSTEM 7 DUAL TRIGGER ROTARY WAS ALLEGEDLY LEAKING AN UNKNOWN SUBSTANCE DURING THE CLEANING PROCESS. THERE WAS NO PATIENT INVOLVEMENT AND NO ADVERSE CONSEQUENCES ASSOCIATED WITH THE DEVICE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SYSTEM 7 DUAL TRIGGER ROTARY WAS ALLEGEDLY LEAKING AN UNKNOWN SUBSTANCE DURING THE CLEANING PROCESS. THERE WAS NO PATIENT INVOLVEMENT AND NO ADVERSE CONSEQUENCES ASSOCIATED WITH THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
293633 SYSTEM 7 DUAL TRIGGER ROTARY INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT HWE STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1