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 |