FDA Adverse Event Malfunction Summary report: N

SYSTEM 6 SAGITTAL SAW

MDR report key: 3900240 · Received June 27, 2014

Report

Report Number
0001811755-2014-02298
Event Type
Malfunction
Date Received
June 27, 2014
Date of Event
May 30, 2014
Report Date
June 3, 2014
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HWE
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THROUGH INITIAL INSPECTION, THE TECHNICIAN FOUND AN OIL LIKE SUBSTANCE LEAKING FORM THE BLADE MOUNT. A SUBSTANCE INSIDE THE HANDPIECE OR LEAKING FROM THE HANDPIECE COULD HAVE BEEN CAUSED BY IMPROPER CLEANING AND STERILIZATION PRACTICES AT THE ACCOUNT SITE, BUT THIS WAS NOT DIRECTLY ABLE TO BE CONFIRMED. UPON VISUAL INSPECTION, THE DEVICE WAS ALSO FOUND TO HAVE A WORN ECCENTRIC BEARING, A LOOSE DRIVE LINK ON THE BLADE MOUNT BASE, AND WORN FRONT CAP II CASTLE FEATURES. THE DEVICE WAS REPAIRED AND RETURNED TO THE USER FACILITY.

Description of Event or Problem · 1

IT WAS REPORTED THAT PRIOR TO A PROCEDURE, THE SYSTEM 6 SAGITTAL SAW WAS FOUND TO BE SPITTING OIL. IT WAS REPORTED THAT THERE WAS NO ASSOCIATED PROCEDURE. NO PATIENT INVOLVEMENT, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
377922 SYSTEM 6 SAGITTAL SAW INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT HWE STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1