FDA Adverse Event Malfunction Summary report: N

TPS HANDPIECE CORD

MDR report key: 4222816 · Received November 4, 2014

Report

Report Number
0001811755-2014-03934
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
EIA
PMA / PMN Number
K032117
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION CONCLUSION: THE DEVICE WAS SCRAPPED BY THE MANUFACTURER.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING EQUIPMENT TESTING CONDUCTED BY A MANUFACTURER SERVICE TECHNICIAN THAT THE DEVICE WAS DISPLAYING A BIAS CURRENT ERROR. NO PATIENT INVOLVEMENT, NO CLINICALLY SIGNIFICANT DELAY, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
707514 TPS HANDPIECE CORD UNIT, OPERATIVE DENTAL EIA STRYKER INSTRUMENTS-KALAMAZOO 08038

Patients

Seq Age Sex Outcome Treatment
1