FDA Adverse Event
Malfunction
Summary report: N
SABO SAG SAW
MDR report key: 3926453
·
Received July 10, 2014
Report
- Report Number
- 0001811755-2014-02460
- Event Type
- Malfunction
- Date Received
- July 10, 2014
- Date of Event
- June 10, 2014
- Report Date
- June 13, 2014
- Manufacturer
- STRYKER INSTRUMENTS-KALAMAZOO
- Product Code
- HWE
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE REPORTED OVERHEATING OF THE DEVICE WAS NOT ABLE TO BE CONFIRMED BY A MANUFACTURER REPAIR TECHNICIAN. UPON DISASSEMBLY FOR VISUAL EXAMINATION, NO COMPONENTS WERE IDENTIFIED WHICH WOULD HAVE LIKELY CAUSED OR CONTRIBUTED TO THE REPORTED FAILURE. THE DEVICE WAS SERVICED FOR PREVENTIVE MAINTENANCE AND RETURNED TO THE USER FACILITY.
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING A SURGICAL PROCEDURE AT THE USER FACILITY, THE DEVICE WAS OVERHEATING. NO INJURIES OR ADVERSE CONSEQUENCES WERE KNOWN BY THE INITIAL REPORTER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 404118 | SABO SAG SAW | INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT | HWE | STRYKER INSTRUMENTS-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |