FDA Adverse Event Malfunction Summary report: N

2.3MM SPIRAL ROUTER

MDR report key: 6562692 · Received May 12, 2017

Report

Report Number
0001811755-2017-01236
Event Type
Malfunction
Date Received
May 12, 2017
Date of Event
April 1, 2017
Report Date
May 12, 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

INVESTIGATION RESULTS CONCLUDED THE PRESENCE OF ABRASIVE WEAR ALONG THE FLUTE EDGES SUGGESTS THERE MAY HAVE BEEN CONTACT WITH ANOTHER METAL INSTRUMENT WHILE IN USE. THIS CONTACT MAY HAVE RESULTED IN THE FRACTURE OBSERVED ON THE RETURNED DEVICE. THE IFU FOR THE ATTACHMENT (5407-210-768 REV-A) HAS THE FOLLOWING WARNING; "DO NOT LET THE SPINNING CUTTING ACCESSORY COME INTO CONTACT WITH RETRACTORS OR OTHER METAL TOOLS. METAL SHAVINGS COULD DETACH FROM THE EQUIPMENT AND FALL INTO THE SURGICAL SITE."

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
345900 2.3MM SPIRAL ROUTER DRILLS, BURRS, TREPHINES & ACCESSORIES HBE STRYKER INSTRUMENTS-KALAMAZOO UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 (B)(4)