FDA Adverse Event Malfunction Summary report: N

MAESTRO DRILL WITH HANDSWITCH

MDR report key: 3834503 · Received May 28, 2014

Report

Report Number
0001811755-2014-01953
Event Type
Malfunction
Date Received
May 28, 2014
Date of Event
April 30, 2014
Report Date
April 30, 2014
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HBB
PMA / PMN Number
K041754
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

FAILURE ANALYSIS IS IN PROGRESS. A FOLLOW-UP WILL BE SUBMITTED ONCE THE QUALITY INVESTIGATION IS COMPLETE.

Additional Manufacturer Narrative · 1

DURING FAILURE ANALYSIS, THE REPORTED EVENT OF THE DEVICE RUNNING IN SAFE MODE WAS CONFIRMED. THE DEVICE HAD A DAMAGED O-RING ON THE NEEDLE VALVE AND A BENT NEEDLE VALVE. DAMAGE TO THE O-RING CAN CAUSE THE NEEDLE VALVE TO STICK, KEEPING THE DEVICE ACTIVATED IN SAFE MODE. THE NEEDLE VALVE STICKING CAN CAUSE IT TO BEND, ALSO CONTRIBUTING TO THE EVENT OF RUN ON.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE MAESTRO DRILL WITH HANDSWITCH EXPERIENCED UNINTENTIONAL ACTIVATION AND RAN IN SAFE MODE DURING DEVICE EVALUATION AT THE MANUFACTURING FACILITY. NO PATIENT INVOLVEMENT, NO ADVERSE CONSEQUENCES, NO MEDICAL INTERVENTION, AND NO SURGICAL DELAY WERE REPORTED WITH THIS EVENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE MAESTRO DRILL WITH HANDSWITCH EXPERIENCED UNINTENTIONAL ACTIVATION AND RAN IN SAFE MODE DURING DEVICE EVALUATION AT THE MANUFACTURING FACILITY. NO PATIENT INVOLVEMENT, NO ADVERSE CONSEQUENCES, NO MEDICAL INTERVENTION, AND NO SURGICAL DELAY WERE REPORTED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
314411 MAESTRO DRILL WITH HANDSWITCH MOTOR, DRILL, PNEUMATIC HBB STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1