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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH UNKNOWN_DRILL BIT; KNEE INSTRUMENT

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STRYKER ORTHOPAEDICS-MAHWAH UNKNOWN_DRILL BIT; KNEE INSTRUMENT Back to Search Results
Catalog Number UNK_REC
Device Problems Mechanical Problem (1384); Sticking (1597); Mechanical Jam (2983)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 04/18/2016
Event Type  malfunction  
Manufacturer Narrative
When completed, the investigation results will be submitted in a supplemental report.
 
Event Description
During a primary right total knee procedure the drill became cold welded/stuck in hole of cutting block.Lot number was not available.No adverse patient consequences and no delay in surgery.Procedure was complete using another cutting block.
 
Manufacturer Narrative
An event regarding alleged seizing involving an unknown drill was reported.The event was confirmed.It is jammed into the distal resection guide.There spiral scratches around the base of the drill bit.Medical records received and evaluation: no patient medical records were available for review.Device history review: a review of the device history records could not be performed as no lot information was provided.Complaint history review: a complaint history review could not be performed as no lot information was provided.The investigation concluded by a discussion with a member of the mar group found the drill bit became stuck within the guide was due to galling which occurred during use.
 
Event Description
During a primary right total knee procedure the drill became cold welded/stuck in hole of cutting block.Lot number was not available.No adverse patient consequences and no delay in surgery.Procedure was complete using another cutting block.
 
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Brand Name
UNKNOWN_DRILL BIT
Type of Device
KNEE INSTRUMENT
Manufacturer (Section D)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer (Section G)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer Contact
cindy chuhinko
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key5652424
MDR Text Key45137040
Report Number0002249697-2016-01591
Device Sequence Number1
Product Code JWH
Combination Product (y/n)N
Reporter Country CodeUS
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 02/02/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received05/13/2016
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberUNK_REC
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer04/26/2016
Is the Reporter a Health Professional? No
Date Manufacturer Received01/10/2017
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Outcome(s) Other;
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