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U.S. Department of Health and Human Services

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

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STRYKER INSTRUMENTS-KALAMAZOO BATTERY; INSTRUMENT, SURGICAL, ORTHOPEDIC, DC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Catalog Number 4115000000
Device Problems Break (1069); Leak/Splash (1354)
Patient Problem No Patient Involvement (2645)
Event Date 01/21/2014
Event Type  malfunction  
Event Description
It was reported that the battery was observed to be broken and some liquid came out.There was no patient involvement, and there were no user injuries or adverse consequences.Attempts to obtain additional information were made, but were not successful.
 
Manufacturer Narrative
A follow up report will be filed after the quality investigation has been completed.
 
Event Description
It was reported that the battery was observed to be broken and some liquid came out.There was no patient involvement, and there were no user injuries or adverse consequences.Attempts to obtain additional information were made, but were not successful.
 
Manufacturer Narrative
The reported event, leaking, was confirmed; a dried rust residue was found.Upon disassembly, the technician also found internal corrosion.Based on a review of the risk documents and observations from the device inspection, the presence of internal corrosion is caused by improper sterilization.The device was scrapped by the manufacturer.
 
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Brand Name
BATTERY
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 Key3634009
MDR Text Key19199898
Report Number0001811755-2014-00529
Device Sequence Number1
Product Code KIJ
Combination Product (y/n)N
Reporter Country CodeFI
PMA/PMN Number
K972367
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Nurse
Type of Report Initial,Followup
Report Date 01/24/2014
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/19/2014
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number4115000000
Device Lot Number11335
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/12/2014
Is the Reporter a Health Professional? Yes
Date Manufacturer Received02/25/2014
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured12/01/2011
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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