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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO SYSTEM 6 ASEPTIC HOUSING; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT

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STRYKER INSTRUMENTS-KALAMAZOO SYSTEM 6 ASEPTIC HOUSING; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Catalog Number 6126120000
Device Problem Biocompatibility (2886)
Patient Problem No Patient Involvement (2645)
Event Date 06/02/2017
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Twenty-four events were reported for this quarter.Twenty-three devices were received for evaluation; twenty-two events were confirmed during testing.Eight devices were found to be fractured.Thirteen devices were found to have missing components.One device was found to have a swollen component.One device evaluation is in progress.One device was available for evaluation but has not yet been received.This device is not repairable and was not returned to the user facility.There were no remedial actions taken.This device is not labeled for single-use.
 
Event Description
This report summarizes 24 malfunction events in which the device had a condition in which the non-sterile battery had the potential to be exposed to the surgical site.Twenty-three events had no patient involvement; no patient impact.One event had patient involvement; no patient impact.
 
Manufacturer Narrative
This mdr report is part of the malfunction summary reporting program, exemption number e2015055.Supplemental rationale: 2 previously reported events are included in this follow-up record.Product return status: 2 devices were not available to stryker for evaluation.    additional information: 2 devices were not labeled for single-use.2 devices were not reprocessed and reused.Device not received for evaluation.
 
Event Description
This report summarizes 24 malfunction events in which the device had a condition in which the non-sterile battery had the potential to be exposed to the surgical site.23 events had no patient involvement; no patient impact.1 event had patient involvement; no patient impact.
 
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Brand Name
SYSTEM 6 ASEPTIC HOUSING
Type of Device
INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-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
zach baker
4100 east milham avenue
kalamazoo, MI 49001
2693237700
MDR Report Key6980751
MDR Text Key91210777
Report Number0001811755-2017-02100
Device Sequence Number1
Product Code HWE
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported24
Summary Report (Y/N)Y
Report Source Manufacturer
Source Type company representative
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 10/25/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/26/2017
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator No Information
Device Catalogue Number6126120000
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Date Manufacturer Received06/02/2017
Was Device Evaluated by Manufacturer? No
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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