FDA Adverse Event
Malfunction
Summary report: N
SD/PD SERIES XL ANGLED ATTACHMENT
MDR report key: 8784635
·
Received July 12, 2019
Report
- Report Number
- 0001811755-2019-02261
- Event Type
- Malfunction
- Date Received
- July 12, 2019
- Date of Event
- June 22, 2019
- Report Date
- July 12, 2019
- Manufacturer
- STRYKER INSTRUMENTS-KALAMAZOO
- Product Code
- ERL
- UDI-DI
- 04546540369994
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THE DEVICE HAD HEAT DURING TESTING CONDUCTED BY A MANUFACTURER FIELD SERVICE TECHNICIAN AT THE USER FACILITY. NO PATIENT INVOLVEMENT, NO DELAY, NO MEDICAL INTERVENTION, AND NO ADVERSE CONSEQUENCES WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 577294 | SD/PD SERIES XL ANGLED ATTACHMENT | DRILL, SURGICAL, ENT (ELECTRIC OR PNEUMATIC) INCLUDING HANDPIECE | ERL | STRYKER INSTRUMENTS-KALAMAZOO | 04546540369994 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |