FDA Adverse Event
Malfunction
Summary report: N
SD/PD SERIES LONG STRAIGHT ATTACHMENT
MDR report key: 8784630
·
Received July 12, 2019
Report
- Report Number
- 0001811755-2019-02255
- Event Type
- Malfunction
- Date Received
- July 12, 2019
- Date of Event
- June 17, 2019
- Report Date
- July 12, 2019
- Manufacturer
- STRYKER INSTRUMENTS-KALAMAZOO
- Product Code
- ERL
- UDI-DI
- 04546540369963
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THE DEVICE OVERHEATED DURING A PROCEDURE AT THE USER FACILITY. THE USER FACILITY REPORTED THERE WERE NO MEDICAL INTERVENTIONS, SURGICAL DELAY, OR ADVERSE CONSEQUENCES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 577296 | SD/PD SERIES LONG STRAIGHT ATTACHMENT | DRILL, SURGICAL, ENT (ELECTRIC OR PNEUMATIC) INCLUDING HANDPIECE | ERL | STRYKER INSTRUMENTS-KALAMAZOO | 04546540369963 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |