FDA Adverse Event
Malfunction
Summary report: N
SYSTEM 7 SAG SAW
MDR report key: 3932786
·
Received July 14, 2014
Report
- Report Number
- 0001811755-2014-02505
- Event Type
- Malfunction
- Date Received
- July 14, 2014
- Date of Event
- June 18, 2014
- Report Date
- June 18, 2014
- Manufacturer
- STRYKER INSTRUMENTS-KALAMAZOO
- Product Code
- HWE
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE REPORTED RUN-ON WAS CONFIRMED BY A MANUFACTURER REPAIR TECHNICIAN THROUGH FUNCTIONAL EVALUATION. UPON DISASSEMBLY, CORROSION WAS FOUND THROUGHOUT THE TRIGGER ASSEMBLY, WHICH CAN CONTRIBUTE TO THE REPORTED EVENT.
Additional Manufacturer Narrative · 1
FAILURE ANALYSIS IS IN PROGRESS; ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE QUALITY INVESTIGATION IS COMPLETED.
Description of Event or Problem · 1
IT WAS REPORTED THAT AT THE USER FACILITY THE DEVICE RAN WITHOUT USER ACTIVATION AFTER THE TRIGGER WAS RELEASED. NO PATIENT INVOLVEMENT. NO INJURIES OR ADVERSE CONSEQUENCES WERE KNOWN BY THE INITIAL REPORTER.
Description of Event or Problem · 1
IT WAS REPORTED THAT AT THE USER FACILITY THE DEVICE RAN WITHOUT USER ACTIVATION AFTER THE TRIGGER WAS RELEASED. NO PATIENT INVOLVEMENT. NO INJURIES OR ADVERSE CONSEQUENCES WERE KNOWN BY THE INITIAL REPORTER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 409628 | SYSTEM 7 SAG SAW | INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT | HWE | STRYKER INSTRUMENTS-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |