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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO SYSTEM 5 RECIP/STERNUM SAW; INSTRUMENT, SURGICAL, ORTHOPEDIC, DC-POWERED MOTOR AND ACCESSORY/ATTACHMENT

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STRYKER INSTRUMENTS-KALAMAZOO SYSTEM 5 RECIP/STERNUM SAW; INSTRUMENT, SURGICAL, ORTHOPEDIC, DC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Catalog Number 4207000000
Device Problem Break (1069)
Patient Problem No Patient Involvement (2645)
Event Date 01/08/2014
Event Type  malfunction  
Event Description
It was reported that while testing the system 5 recip/sternum saw prior to a procedure, blades were being broken.There was no patient involvement and no adverse consequences associated with the device.
 
Manufacturer Narrative
The reported event, will not hold blade, and blade break, was duplicated; it was confirmed the handpiece would not hold blade and blades are being broken in running mode by the engineer at the technical service center in india through a functional inspection.A non-functioning drive train caused the device break blades while in run mode and to not holding the blade.The drive train was replaced and the handpiece was restored to normal function.
 
Event Description
It was reported that while testing the system 5 recip/sternum saw prior to a procedure, blades were being broken.There was no patient involvement and no adverse consequences associated with the device.
 
Manufacturer Narrative
Failure analysis is ongoing; additional information may be submitted once the results analysis is complete.
 
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Brand Name
SYSTEM 5 RECIP/STERNUM SAW
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 Key3595761
MDR Text Key4339357
Report Number0001811755-2014-00287
Device Sequence Number1
Product Code KIJ
Combination Product (y/n)N
Reporter Country CodeIN
PMA/PMN Number
K972367
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 01/08/2014
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number4207000000
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 02/20/2014
Initial Date FDA Received01/28/2014
Supplement Dates Manufacturer ReceivedNot provided
Supplement Dates FDA Received03/10/2014
Was Device Evaluated by Manufacturer? No
Date Device Manufactured09/27/2006
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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