FDA Adverse Event Malfunction Summary report: N

SYSTEM 7 DUAL TRIGGER ROTARY

MDR report key: 3760737 · Received April 21, 2014

Report

Report Number
0001811755-2014-01387
Event Type
Malfunction
Date Received
April 21, 2014
Date of Event
March 24, 2014
Report Date
March 25, 2014
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HWE
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE REPORTED RUN-ON WAS DUPLICATED BY A MANUFACTURER REPAIR TECHNICIAN THROUGH FUNCTIONAL EVALUATION. UPON DISASSEMBLY, THE TRIGGER SHAFTS WERE FOUND TO BE CORRODED, WHICH CAN CAUSE THE REPORTED EVENT.

Additional Manufacturer Narrative · 1

THE DEVICE IS AVAILABLE FOR EVALUATION BUT HAS NOT YET BEEN RECEIVED. ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE DEVICE IS RECEIVED AND THE QUALITY INVESTIGATION IS COMPLETE. THE DEVICE IS AVAILABLE FOR EVALUATION BUT HAS NOT YET BEEN RECEIVED. ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE DEVICE IS RECEIVED AND THE QUALITY INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE BOTTOM TRIGGER OF A SYSTEM 7 DUAL TRIGGER ROTARY WAS ALLEGEDLY STICKING AT THE USER FACILITY, A CONDITION IN WHICH THE DEVICE HAS THE POTENTIAL TO RUN WITHOUT USER ACTIVATION. NO PATIENT INVOLVEMENT WAS REPORTED. NO FURTHER INFORMATION WAS PROVIDED BY THE USER FACILITY.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE BOTTOM TRIGGER OF A SYSTEM 7 DUAL TRIGGER ROTARY WAS ALLEGEDLY STICKING AT THE USER FACILITY, A CONDITION IN WHICH THE DEVICE HAS THE POTENTIAL TO RUN WITHOUT USER ACTIVATION. NO PATIENT INVOLVEMENT WAS REPORTED. NO FURTHER INFORMATION WAS PROVIDED BY THE USER FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
239925 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