FDA Adverse Event Malfunction Summary report: N

MICRO SAGITTAL SAW

MDR report key: 3943461 · Received July 18, 2014

Report

Report Number
0001811755-2014-02571
Event Type
Malfunction
Date Received
July 18, 2014
Date of Event
June 27, 2014
Report Date
June 27, 2014
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
ERL
PMA / PMN Number
K040300
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

UPON VISUAL INSPECTION, THE DIAGNOSTIC ENGINEER FOUND THE ELECTRICAL SOCKETS IN THE MOTOR ASSEMBLY WERE CORRODED. THE DEVICE WAS REPAIRED AND RETURNED TO THE USER FACILITY.

Additional Manufacturer Narrative · 1

A FOLLOW UP REPORT WILL BE FILED AFTER THE QUALITY INVESTIGATION HAS BEEN COMPLETED.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A PROCEDURE THE MICRO SAGITTAL SAW WAS RUNNING WITHOUT USER ACTIVATION WHILE IT WAS IN SAFE MODE AND WAS RUNNING WITHOUT USER ACTIVATION AFTER THE TRIGGER WAS RELEASED. THE PROCEDURE WAS COMPLETED SUCCESSFULLY UTILIZING THE SAME DEVICE. 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 A PROCEDURE, THE MICRO SAGITTAL SAW WAS RUNNING WITHOUT USER ACTIVATION WHILE IT WAS IN SAFE MODE AND WAS RUNNING WITHOUT USER ACTIVATION AFTER THE TRIGGER WAS RELEASED. THE PROCEDURE WAS COMPLETED SUCCESSFULLY UTILIZING THE SAME DEVICE. 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
422212 MICRO SAGITTAL SAW DRILL, SURGICAL, ENT (ELECTRIC OR PNEUMATIC) INCLUDING HANDPIECE ERL STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1