FDA Adverse Event Malfunction Summary report: N

MICRO RECIPROCATING SAW

MDR report key: 3863911 · Received June 10, 2014

Report

Report Number
0001811755-2014-02105
Event Type
Malfunction
Date Received
June 10, 2014
Date of Event
May 14, 2014
Report Date
May 14, 2014
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
ERL
PMA / PMN Number
K040300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, 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

UPON DISASSEMBLY FOR VISUAL INSPECTION THE ENGINEERING TECHNICIAN CONFIRMED EVIDENCE OF NON-STRYKER REPAIR WORK AFFECTING COMPONENTS, INCLUDING THE MOTOR CARTRIDGE.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING ROUTINE MAINTENANCE CONDUCTED BY A MANUFACTURER FIELD SERVICE TECHNICIAN AT THE USER FACILITY THE MICRO RECIPROCATING SAW WAS SLOW TO STOP AND RAN ON FOR A SECOND. NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT. AS THIS EVENT OCCURRED DURING TESTING AT THE USER FACILITY, THERE WAS NO PATIENT INVOLVEMENT AND NO DELAY TO A SURGICAL PROCEDURE. IT WAS ALSO REPORTED THAT DURING TESTING CONDUCTED AT THE MANUFACTURER FACILITY THE MICRO RECIPROCATING SAW RAN WITHOUT ACTIVATION. NO PATIENT INVOLVEMENT, NO DELAY, NO MEDICAL INTERVENTION, AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING ROUTINE MAINTENANCE CONDUCTED BY A MANUFACTURER FIELD SERVICE TECHNICIAN AT THE USER FACILITY THE MICRO RECIPROCATING SAW WAS SLOW TO STOP AND RAN ON FOR A SECOND. NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT. AS THIS EVENT OCCURRED DURING TESTING AT THE USER FACILITY, THERE WAS NO PATIENT INVOLVEMENT AND NO DELAY TO A SURGICAL PROCEDURE. IT WAS ALSO REPORTED THAT DURING TESTING CONDUCTED AT THE MANUFACTURER FACILITY THE MICRO RECIPROCATING SAW RAN WITHOUT ACTIVATION. 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
338954 MICRO RECIPROCATING SAW DRILL, SURGICAL, ENT (ELECTRIC OR PNEUMATIC) INCLUDING HANDPIECE ERL STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1