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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO SMARTLIFE SMALL ASPTC HOUSING; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT

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STRYKER INSTRUMENTS-KALAMAZOO SMARTLIFE SMALL ASPTC HOUSING; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Catalog Number 7222120000
Device Problem Biocompatibility (2886)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 09/02/2017
Event Type  malfunction  
Manufacturer Narrative
This mdr report is part of the malfunction summary reporting program, exemption number (b)(4).Three events were reported for this quarter.(b)(4) devices were received for evaluation.Two events were confirmed.One device was found to have a compromised weld.One device was found to be affected by a missing component.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 3 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.Two 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: corrected data: 1 previously reported event is included in this follow-up record.Product return status: 1 device was not available to stryker for evaluation.    additional information: 1 device is not labeled for single-use.1 device was not reprocessed and reused.
 
Event Description
This report summarizes 3 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.2 events had no patient involvement; no patient impact.1 event had patient involvement; no patient impact.
 
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Brand Name
SMARTLIFE SMALL ASPTC 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
MDR Report Key7220052
MDR Text Key98523748
Report Number0001811755-2018-00291
Device Sequence Number1
Product Code HWE
Combination Product (y/n)N
Number of Events Reported3
Summary Report (Y/N)Y
Report Source Manufacturer
Source Type company representative
Type of Report Initial,Followup
Report Date 10/24/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/25/2018
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator No Information
Device Catalogue Number7222120000
Was Device Available for Evaluation? No
Date Manufacturer Received09/02/2017
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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