FDA Adverse Event Malfunction Summary report: N

CORDLESS DRIVER HIGH SPEED BUR ATTACHMENT

MDR report key: 3951715 · Received July 23, 2014

Report

Report Number
0001811755-2014-02612
Event Type
Malfunction
Date Received
July 23, 2014
Date of Event
June 25, 2014
Report Date
June 25, 2014
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HRX
PMA / PMN Number
K943323
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE EVENT FOR HEAT WAS CONFIRMED BY THE QA TECHNICIAN THROUGH FUNCTIONAL EVALUATION, DISASSEMBLY AND VISUAL INSPECTION. CORROSION WAS FOUND INSIDE THE DEVICE. THE ATTACHMENT IS NOT A REPAIRABLE DEVICE AND WILL NOT BE RETURNED TO THE USER FACILITY.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING EQUIPMENT TESTING CONDUCTED BY A MANUFACTURER FIELD SERVICE TECHNICIAN AT THE USER FACILITY, THE CORDLESS DRIVER HIGH SPEED BUR ATTACHMENT WAS OVERHEATING. NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT. AS THIS EVENT OCCURRED DURING TESTING AT THE USER FACILITY, THERE WAS NO PATIENT INVOLVEMENT AND NO DELAY TO A SURGICAL PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
430242 CORDLESS DRIVER HIGH SPEED BUR ATTACHMENT ARTHROSCOPE HRX STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1