FDA Adverse Event
Malfunction
Summary report: N
CORE SUMEX DRILL
MDR report key: 3922364
·
Received July 9, 2014
Report
- Report Number
- 0001811755-2014-02430
- Event Type
- Malfunction
- Date Received
- July 9, 2014
- Date of Event
- June 11, 2014
- Report Date
- June 11, 2014
- Manufacturer
- STRYKER INSTRUMENTS-KALAMAZOO
- Product Code
- ERL
- PMA / PMN Number
- K040300
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- HI, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
DURING FAILURE ANALYSIS, THE REPORTED EVENT OF BIAS CURRENT ERROR WAS DUPLICATED AND CONFIRMED DURING SERVICE EVALUATION. THE POTENTIAL CAUSE OF THE ISSUE WAS DETERMINED TO BE A DAMAGE OF THE CABLE ASSEMBLY.
Description of Event or Problem · 1
DURING A ROUTINE MAINTENANCE INSPECTION AT THE USER FACILITY, IT WAS REPORTED THAT THE CORE SUMEX DRILL DISPLAYED A BIAS CURRENT MESSAGE WHEN CONNECTED TO THE CONSOLE, SIGNALING A CONDITION OCCURRED FROM WHICH THE DEVICE HAS THE POTENTIAL TO RUN WITHOUT USER ACTIVATION. NO PATIENT INVOLVEMENT, NO ADVERSE CONSEQUENCES, NO MEDICAL INTERVENTION, AND NO SURGICAL DELAY WERE REPORTED WITH THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 400334 | CORE SUMEX DRILL | DRILL, SURGICAL, ENT (ELECTRIC OR PNUMATIC) INCLUDING HANDPIECE | ERL | STRYKER INSTRUMENTS-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |