FDA Adverse Event Malfunction Summary report: N

2.3MM TAPERED ROUTER

MDR report key: 6307058 · Received February 7, 2017

Report

Report Number
0001811755-2017-00502
Event Type
Malfunction
Date Received
February 7, 2017
Date of Event
January 13, 2017
Report Date
February 16, 2017
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HBE
PMA / PMN Number
K143399
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CATALOG NUMBER UPDATED FROM UNKNOWN TO 5407FA2023. INVESTIGATION RESULTS INDICATE THAT THE LEG WAS BENT ON THE ASSOCIATED ATTACHMENT (5407FA2000, (B)(4)). THE BENT LEG MAY HAVE CONTACTED THE ROUTER CAUSING IT TO BREAK. THE ATTACHMENT LEG CAN BECOME BENT OR BROKEN DUE TO EXCESSIVE LOAD BEING APPLIED. THE IFU FOR THE ATTACHMENT (5407-210-768 REV-A) HAS THE FOLLOWING WARNING; "DO NOT APPLY EXCESSIVE PRESSURE, SUCH AS BENDING OR PRYING, WITH THE CUTTING ACCESSORY, FOOT, OR LEG. EXCESSIVE PRESSURE MAY FRACTURE THE CUTTING ACCESSORY OR BEND THE ATTACHMENT FOOT OR LEG." THE EVENT DID NOT INVOLVE A PRODUCT PROBLEM INDICATING A NON-CONFORMITY OR UNANTICIPATED HAZARD. NO FURTHER ACTION IS REQUIRED AT THIS TIME.

Additional Manufacturer Narrative · 1

A FOLLOW UP REPORT WILL BE FILED ONCE THE QUALITY INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING SERVICE CONDUCTED AT THE MANUFACTURER, A BROKEN ROUTER WAS FOUND INSIDE THE ATTACHMENT. IT WAS ALSO REPORTED THAT THIS EVENT DID NOT OCCUR DURING A SURGICAL PROCEDURE AND THERE WAS NO DELAY OR ADVERSE CONSEQUENCES AS A RESULT OF THIS EVENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING SERVICE CONDUCTED AT THE MANUFACTURER A BROKEN ROUTER WAS FOUND INSIDE THE ATTACHMENT. IT WAS ALSO REPORTED THAT THIS EVENT DID NOT OCCUR DURING A SURGICAL PROCEDURE AND THERE WAS NO DELAY OR ADVERSE CONSEQUENCES AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
92624 2.3MM TAPERED ROUTER DRILLS, BURRS, TREPHINES & ACCESSORIES HBE STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 5407FA2000, S/N:(B)(4)