FDA Adverse Event Malfunction Summary report: N

SMARTLIFE LARGE BATTERY

MDR report key: 3843410 · Received June 2, 2014

Report

Report Number
0001811755-2014-02011
Event Type
Malfunction
Date Received
June 2, 2014
Date of Event
May 6, 2014
Report Date
May 6, 2014
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

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN RECEIVED, FAILURE ANALYSIS IS IN PROGRESS; ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE QUALITY INVESTIGATION IS COMPLETED.

Additional Manufacturer Narrative · 1

THE EVENT WAS CONFIRMED BY THE TECHNICIAN THROUGH VISUAL INSPECTION. THE BATTERY HOUSING WAS CRACKED/DAMAGED. IT IS POSSIBLE THAT THE DAMAGE OCCURRED DUE TO EXCESSIVE SIDELOAD. THE BATTERY WAS PLACED IN PARTS RETENTION.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SYSTEM 7 BATTERY WAS BROKEN IN HALF WHEN RECEIVED AT THE MANUFACTURER FACILITY. UPON FOLLOW UP, THE USER FACILITY WAS NOT ABLE TO PROVIDE ANY FURTHER INFORMATION REGARDING THE REPORTED EVENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SYTEM 7 BATTERY WAS BROKEN IN HALF WHEN RECEIVED AT THE MANUFACTURER FACILITY. UPON FOLLOW UP, THE USER FACILITY WAS NOT ABLE TO PROVIDE ANY FURTHER INFORMATION REGARDING THE REPORTED EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
321120 SMARTLIFE LARGE BATTERY INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT HWE STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1