FDA Adverse Event
Malfunction
Summary report: N
REMB SAG SAW
MDR report key: 4242444
·
Received November 11, 2014
Report
- Report Number
- 0001811755-2014-04026
- Event Type
- Malfunction
- Date Received
- November 11, 2014
- Date of Event
- October 9, 2014
- Report Date
- October 22, 2014
- Manufacturer
- STRYKER INSTRUMENTS-KALAMAZOO
- Product Code
- ERL
- PMA / PMN Number
- K112593
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
DEVICE NOT RETURNED TO MANUFACTURER FOR INVESTIGATION.
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING TESTING PRIOR TO A PROCEDURE AT THE USER FACILITY THE REMB SAGITTAL SAW WAS ABLE TO OPERATE WITHOUT USER ACTIVATION. THE PROCEDURE WAS COMPLETED SUCCESSFULLY USING BACK-UP EQUIPMENT WITH NO DELAY, NO MEDICAL INTERVENTION, AND NO ADVERSE CONSEQUENCES REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 727830 | REMB SAG SAW | DRILL, SURGICAL, ENT (ELECTRIC OR PNEUMATIC) INCLUDING HANDPIECE | ERL | STRYKER INSTRUMENTS-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |