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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO BATTERY CHARGER, 120 VOLT"; INSTRUMENT, SURGICAL, ORTHOPEDIC, DC-POWERED MOTOR AND ACCESSORY/ATTACHMENT

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STRYKER INSTRUMENTS-KALAMAZOO BATTERY CHARGER, 120 VOLT"; INSTRUMENT, SURGICAL, ORTHOPEDIC, DC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Catalog Number 4110120000
Device Problem Smoking (1585)
Patient Problem No Patient Involvement (2645)
Event Date 05/30/2014
Event Type  malfunction  
Event Description
It was reported that the battery charger is smoking while charging the batteries at the user facility.No associated procedure, no patient involvement, no delay, no medical intervention and no adverse consequences were reported with this event.
 
Manufacturer Narrative
The reported event, charger is not working and is smoking, was not duplicated, however it was confirmed that plastic on the third module had melted.Through visual inspection, the engineer observed the plastic on the third module where the batteries are seated was deformed due to heat.Although overheating and smoking were not observed during testing, the engineer determined that the cause of the overheating was most likely caused by a faulty battery.The third module was replaced, preventative maintenance was performed and the charger was returned to the customer.The ifu also advises users not to place a battery in a module until the module is connected to the charger.Failure to do so can cause the module to become hot with the potential to burn.
 
Event Description
It was reported that the battery charger is smoking while charging the batteries at the user facility.No associated procedure, no patient involvement, no delay, no medical intervention and no adverse consequences were reported with this event.
 
Manufacturer Narrative
The device has been received, but the evaluation has not yet begun.Additional information may be submitted once the quality investigation is complete.
 
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Brand Name
BATTERY CHARGER, 120 VOLT"
Type of Device
INSTRUMENT, SURGICAL, ORTHOPEDIC, DC-POWERED MOTOR AND ACCESSORY/ATTACHMENT
Manufacturer (Section D)
STRYKER INSTRUMENTS-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
Manufacturer (Section G)
STRYKER INSTRUMENTS-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
Manufacturer Contact
casey metzger
4100 east milham avenue
kalamazoo, MI 49001
2693237700
MDR Report Key3896591
MDR Text Key4799368
Report Number0001811755-2014-02277
Device Sequence Number1
Product Code KIJ
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K972367
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type User Facility
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 05/30/2014
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/26/2014
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number4110120000
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer06/18/2014
Is the Reporter a Health Professional? No
Date Manufacturer Received08/20/2014
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured01/15/2004
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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