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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO UNIVERSAL HANDSWITCH; UNIT, OPERATIVE DENTAL
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STRYKER INSTRUMENTS-KALAMAZOO UNIVERSAL HANDSWITCH; UNIT, OPERATIVE DENTAL Back to Search Results
Catalog Number 5100009000
Device Problem Device Operates Differently Than Expected (2913)
Patient Problem No Patient Involvement (2645)
Event Date 03/15/2015
Event Type  malfunction  
Event Description
It was reported that the universal handswitch would not lock into run or safety modes during a routine equipment evaluation at the user facility, by a manufacturers' service technician.The run or safety not locking creates the potential for the device to be activated unintentionally.There was no patient involvement, and there were no user injuries or adverse consequences.
 
Event Description
It was reported that the universal handswitch would not lock into run or safety modes during a routine equipment evaluation at the user facility, by a manufacturers' service technician.The run or safety not locking creates the potential for the device to be activated unintentionally.There was no patient involvement, and there were no user injuries or adverse consequences.
 
Manufacturer Narrative
A follow up report will be filed after the quality investigation has been completed.
 
Manufacturer Narrative
Impact damage is known to cause or contribute to the reported event.The handswitch is not a repairable device and will not be returned to the user facility.
 
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Brand Name
UNIVERSAL HANDSWITCH
Type of Device
UNIT, OPERATIVE DENTAL
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 Key4681038
MDR Text Key5639097
Report Number0001811755-2015-01322
Device Sequence Number1
Product Code EIA
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K032117
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Company Representative
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 03/15/2015
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/10/2015
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number5100009000
Device Lot Number10306
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer03/19/2015
Is the Reporter a Health Professional? No
Date Manufacturer Received05/13/2015
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured11/10/2010
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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