FDA Adverse Event Malfunction Summary report: N

LARGE POINTER

MDR report key: 3192476 · Received June 27, 2013

Report

Report Number
0001811755-2013-01479
Event Type
Malfunction
Date Received
June 27, 2013
Date of Event
May 31, 2013
Report Date
May 31, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HAW
PMA / PMN Number
K993239
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE POINTER IS NOT A REPAIRABLE DEVICE AND WILL THEREFORE NOT BE RETURNED TO THE USER FACILITY.

Additional Manufacturer Narrative · 1

DURING THE DEVICE EVALUATION, THE BLACK LED COVER WAS CONFIRMED TO BE BROKEN OFF AND THE TIP WAS CONFIRMED TO BE BENT. MECHANICAL IMPACTS DURING USE OR CERTAIN CLEANING AND STERILIZATION PRACTICES AT THE USER ACCOUNT ARE PROBABLE CAUSES OF THE REPORTED EVENTS.

Additional Manufacturer Narrative · 1

ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE DEVICE IS RECEIVED AND THE QUALITY INVESTIGATION IS COMPLETED, IF ADDITIONAL INFORMATION IS OBTAINED AND REQUIRES REPORTING. THE DEVICE HAS NOT BEEN RETURNED FOR ANALYSIS AT THIS TIME.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING THE DEVICE EVALUATION AT THE GERMAN USER FACILITY BY THE MANUFACTURER TECHNICIAN, THE TIP OF THE POINTER WAS FOUND BENT. NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE ALLEGED WITH THIS EVENT. AS THIS EVENT OCCURRED DURING TESTING AT THE MANUFACTURER FACILITY, THERE WAS NO PATIENT INVOLVEMENT AND NO DELAY TO A SURGICAL PROCEDURE.

Description of Event or Problem · 1

IT WAS REPORTED THAT AFTER STERILIZATION PRIOR TO A CRANIOTOMY PROCEDURE AT THE USER FACILITY, THE DEVICE TRAY WAS UNWRAPPED AND THE SMALL BLACK PIECE AROUND THE LED ON THE TOP OF THE POINTER HAD BROKEN OFF IN THE DEVICE TRAY. NO PATIENT INVOLVEMENT, NO DELAY, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE ALLEGED WITH THIS EVENT. IT WAS REPORTED THAT A BACK-UP POINTER WAS USED TO PERFORM THE SURGICAL PROCEDURE FOLLOWING THE REPORTED EVENT, AND THAT THE PROCEDURE WAS COMPLETED SUCCESSFULLY. IT WAS REPORTED THAT DURING THE DEVICE EVALUATION AT THE (B)(6) USER FACILITY BY THE MANUFACTURER TECHNICIAN, THE TIP OF THE POINTER WAS FOUND BENT. NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE ALLEGED WITH THIS EVENT. AS THIS EVENT OCCURRED DURING TESTING AT THE MANUFACTURER FACILITY, THERE WAS NO PATIENT INVOLVEMENT AND NO DELAY TO A SURGICAL PROCEDURE.

Description of Event or Problem · 1

IT WAS REPORTED THAT AFTER STERILIZATION PRIOR TO A CRANIOTOMY PROCEDURE AT THE USER FACILITY, THE DEVICE TRAY WAS UNWRAPPED AND THE SMALL BLACK PIECE AROUND THE LED ON THE TOP OF THE POINTER HAD BROKEN OFF IN THE DEVICE TRAY. NO PATIENT INVOLVEMENT, NO DELAY, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE ALLEGED WITH THIS EVENT. IT WAS REPORTED THAT A BACK-UP POINTER WAS USED TO PERFORM THE SURGICAL PROCEDURE FOLLOWING THE REPORTED EVENT, AND THAT THE PROCEDURE WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
292872 LARGE POINTER NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1