FDA Adverse Event Malfunction Summary report: N

REMB SAG SAW

MDR report key: 3994152 · Received August 8, 2014

Report

Report Number
0001811755-2014-02815
Event Type
Malfunction
Date Received
August 8, 2014
Date of Event
July 14, 2014
Report Date
July 14, 2014
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
ERL
PMA / PMN Number
K112593
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE REPORTED EVENT WAS NOT DUPLICATED. DURING FUNCTIONAL INSPECTION THE SERVICE TECHNICIAN NOTED NO FAILURES OR MALFUNCTIONS. AFTER THE FUNCTIONAL INSPECTION THE HANDPIECE WAS DISASSEMBLED AND VISUALLY INSPECTED. DURING THIS VISUAL INSPECTION THE SERVICE TECHNICIAN OBSERVED NO COMPONENTS THAT WOULD CAUSE OR CONTRIBUTE TO THE REPORTED FAILURE. OTHER COMPONENTS WERE REPLACED DUE TO WEAR AND THE DEVICE WAS RETURNED TO THE CUSTOMER.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING ROUTINE MAINTENANCE CONDUCTED BY A MANUFACTURER FIELD SERVICE TECHNICIAN AT THE USER FACILITY THE REMB SAGITTAL SAW WAS SLOW TO BRAKE. 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
466716 REMB SAG SAW DRILL, SURGICAL, ENT (ELECTRIC OR PNEUMATIC) INCLUDING HANDPIECE ERL STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1