FDA Adverse Event Malfunction Summary report: N

CORDLESS DRIVER 3

MDR report key: 3843436 · Received June 2, 2014

Report

Report Number
0001811755-2014-02012
Event Type
Malfunction
Date Received
June 2, 2014
Date of Event
May 7, 2014
Report Date
May 7, 2014
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HRX
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE COMPLAINT STICKING TRIGGER AND NOISE WAS CONFIRMED BY THE REPAIR TECHNICIAN THROUGH FUNCTIONAL EVALUATION, DISASSEMBLY AND VISUAL INSPECTION. THE TRIGGER WAS DETERMINED TO BE DEFORMED AND THE MOTOR BEARING WAS DAMAGED. THIS MAY CAUSE THE DESCRIBED EVENTS. THE AFFECTED TRIGGER ASSEMBLY AND MOTOR BEARING WERE REPLACED. COMPONENTS NOT ASSOCIATED WITH THE COMPLAINT WERE REPLACED AS PART OF PREVENTIVE MAINTENANCE AND THE HANDPIECE RETURNED TO THE ACCOUNT AFTER PASSING FINAL INSPECTION.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE FORWARD TRIGGER IN THE CORDLESS DRIVER IS STICKING AND IT CAUSED RUN ON DURING ROUTINE MAINTENANCE. NO ASSOCIATED PROCEDURE, NO PATIENT INVOLVEMENT, NO DELAY, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
322122 CORDLESS DRIVER 3 ARTHROSCOPE HRX STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1