FDA Adverse Event Malfunction Summary report: N

ORTHO GRIP KNEE POINTER

MDR report key: 4222797 · Received November 4, 2014

Report

Report Number
0001811755-2014-03935
Event Type
Malfunction
Date Received
November 4, 2014
Date of Event
October 8, 2014
Report Date
October 8, 2014
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HAW
PMA / PMN Number
K022579
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

IT WAS REPORTED THAT THE DEVICE WAS DROPPED DURING HANDLING AND THE BALL TIP BROKE OFF UPON GROUND IMPACT. BASED ON THE NATURE OF THE REPORTED EVENT AND THE INFORMATION RECEIVED DURING THE FOLLOW UP, THE EVENT WAS CAUSED BY USE ERROR.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE BALL TIP WAS BROKEN OFF OF THE ORTHO GRIP KNEE POINTER AFTER IT WAS DROPPED ON THE GROUND DURING TESTING AT THE USER FACILITY. NO PATIENT INVOLVEMENT, NO ADVERSE CONSEQUENCES, NO MEDICAL INTERVENTION, AND NO SURGICAL DELAY WERE REPORTED WITH THIS EVENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE BALL TIP WAS BROKEN OFF OF THE ORTHO GRIP KNEE POINTER AFTER IT WAS DROPPED ON THE GROUND DURING TESTING AT THE USER FACILITY. NO PATIENT INVOLVEMENT, NO ADVERSE CONSEQUENCES, NO MEDICAL INTERVENTION, AND NO SURGICAL DELAY WERE REPORTED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
707292 ORTHO GRIP KNEE POINTER NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1