MICRO OSCILLATING SAW 5400031000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2010-12-16 for MICRO OSCILLATING SAW 5400031000 manufactured by Stryker Instruments Kalamazoo.

Event Text Entries

[1779368] It was reported that the handpiece was running on its own while being tested. This did not occur during a surgical procedure. There was no patient involvement or any adverse consequences reported as a result of this event.
Patient Sequence No: 1, Text Type: D, B5


[8846773] The handpiece was received at the manufacturer for evaluation, and the reported condition of the device running on its own was duplicated. Based on the investigation details, the likely cause was problems with the motor, press plug, and bearings, which were each replaced along with other components. Service did a clean, lube, and adjust to the device, and it was repaired and returned to the customer.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1811755-2010-02051
MDR Report Key1960749
Report Source07
Date Received2010-12-16
Date of Report2010-11-24
Date of Event2010-11-23
Date Mfgr Received2010-11-24
Device Manufacturer Date2007-10-25
Date Added to Maude2011-02-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactGREGORY GOHL
Manufacturer Street4100 EAST MILHAM AVE.
Manufacturer CityKALAMAZOO MI 49001
Manufacturer CountryUS
Manufacturer Postal49001
Manufacturer Phone2693237700
Manufacturer G1STRYKER INSTRUMENTS KALAMAZOO
Manufacturer Street4100 EAST MILHAM AVE.
Manufacturer CityKALAMAZOO MI 49001
Manufacturer CountryUS
Manufacturer Postal Code49001
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMICRO OSCILLATING SAW
Generic NameSURGICAL INSTRUMENT MOTORS AND ACCESSORIES/ATTAC
Product CodeDZH
Date Received2010-12-16
Returned To Mfg2010-11-29
Catalog Number5400031000
OperatorOTHER
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER INSTRUMENTS KALAMAZOO
Manufacturer AddressKALAMAZOO MI 49001 US 49001


Patients

Patient NumberTreatmentOutcomeDate
10 2010-12-16

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