FDA Adverse Event Malfunction Summary report: N

CORDLESS DRIVER 3

MDR report key: 3240227 · Received July 22, 2013

Report

Report Number
0001811755-2013-01747
Event Type
Malfunction
Date Received
July 22, 2013
Date of Event
June 27, 2013
Report Date
July 9, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HRX
PMA / PMN Number
K943323
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FOLLOW UP REPORT WILL BE FILED AFTER THE QUALITY INVESTIGATION HAS BEEN COMPLETED.

Additional Manufacturer Narrative · 1

DURING DEVICE EVALUATION, THE REPORTED EVENT COULD NOT BE DUPLICATED. THE COMPONENTS OF THE DEVICE WERE VISUALLY EXAMINED AND FOUND TO BE CONFORMING. PREVENTATIVE MAINTANENCE WAS PERFORMED ON THE DEVICE AND IT WAS RETURNED TO THE USER FACILITY.

Description of Event or Problem · 1

IT WAS REPORTED DURING TESTING AT THE USER FACILITY THAT THE CORDLESS DRIVER 3 WAS PRODUCING METAL SHAVINGS. NO PATIENT INVOLVEMENT, NO DELAY, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE ALLEGED WITH THIS EVENT.

Description of Event or Problem · 1

IT WAS REPORTED DURING TESTING AT THE USER FACILITY THAT THE CORDLESS DRIVER 3 WAS PRODUCING METAL SHAVINGS. NO PATIENT INVOLVEMENT, NO DELAY, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE ALLEGED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
339656 CORDLESS DRIVER 3 ARTHROSCOPE HRX STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1