FDA Adverse Event Malfunction Summary report: N

SYSTEM 6 PRECISION HANDPIECE

MDR report key: 3850813 · Received June 5, 2014

Report

Report Number
0001811755-2014-02060
Event Type
Malfunction
Date Received
June 5, 2014
Date of Event
May 9, 2014
Report Date
May 9, 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

FAILURE ANALYSIS IS IN PROGRESS; ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE QUALITY INVESTIGATION IS COMPLETED.

Additional Manufacturer Narrative · 1

THE REPORTED RUNNING TOO FAST WAS CONFIRMED BY A MANUFACTURER REPAIR TECHNICIAN THROUGH FUNCTIONAL EVALUATION. UPON DISASSEMBLY, IT WAS FOUND THAT A THIRD PARTY E-BOX AND MOTOR HAD BEEN INSTALLED. UNAUTHORIZED MODIFICATION OF THESE COMPONENTS IS A PROBABLE CAUSE OF RUNNING TOO FAST . THE DEVICE INSTRUCTIONS FOR USE STATES THAT NO SERVICE SHOULD BE ATTEMPTED ON THE DEVICE SYSTEM COMPONENTS AND THAT ALL CONCERNS SHOULD BE DIRECTED TO STRYKER SERVICE. STRYKER RECOMMENDS THAT ALL FAILURES AND MAINTENANCE ASSOCIATED WITH ITS DEVICES SHOULD BE DIRECTED TO TRAINED STRYKER SERVICE PROFESSIONALS.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING TESTING CONDUCTED AT THE MANUFACTURER FACILITY THE DEVICE WAS RUNNING FASTER THAN THE EXPECTED SPEED. NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT. AS THIS EVENT OCCURRED DURING TESTING AT THE MANUFACTURER FACILITY, THERE WAS NO PATIENT INVOLVEMENT AND NO DELAY TO A SURGICAL PROCEDURE.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING TESTING CONDUCTED AT THE MANUFACTURER FACILITY THE DEVICE WAS RUNNING FASTER THAN THE EXPECTED SPEED. NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT. AS THIS EVENT OCCURRED DURING TESTING AT THE MANUFACTURER FACILITY, THERE WAS NO PATIENT INVOLVEMENT AND NO DELAY TO A SURGICAL PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
330190 SYSTEM 6 PRECISION HANDPIECE INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT HWE STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1