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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH LEFT - NAV COMPATIBLE DUAL-OFFSET ACCOLADE RASP HANDLE; INSTRUMENT

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STRYKER ORTHOPAEDICS-MAHWAH LEFT - NAV COMPATIBLE DUAL-OFFSET ACCOLADE RASP HANDLE; INSTRUMENT Back to Search Results
Catalog Number 2124-1750
Device Problems Detachment Of Device Component (1104); Loose or Intermittent Connection (1371); Mechanical Problem (1384)
Patient Problems No Consequences Or Impact To Patient (2199); No Known Impact Or Consequence To Patient (2692)
Event Date 12/19/2013
Event Type  malfunction  
Event Description
It was reported that during the tha, when the surgeon was rasping with the broach handle, the lever of handle constantly loosened.
 
Manufacturer Narrative
When completed, the investigation results will be submitted in a supplemental report.
 
Manufacturer Narrative
The event was confirmed.A review of stryker¿s nc/capa database indicated that an ncr was raised on sep-2009 due to belirved to be a design non-conformance, manufacturing non-conformance, or combination of the two.Rasp handles will not close on the rasp trunnion, and/or will jam during attempted closure, bending the flat spring portion of the latching lever assembly.The ncr was initiated to establish root cause and corrective action for what was originally believed to be a design or manufacturing non-conformance.Although the investigation uncovered no non-conformance, the ncr remained open to address improvements in lubrication process documentation used by the manufacturing cell.An ecr updated the inspection guide sheets to show all required lubrication points for the device.Igs revision 9 includes these improvements and was released on oct-2009.The ncr was closed in october, 2010, with the completion of all open actions.A review of the device history records indicates that the reported devices were manufactured and accepted into final stock with no reported discrepancies.The complaint history review indicated that there were no similar events for the reported lot.No material or manufacturing defects were observed on the device features examined.
 
Event Description
It was reported that during the tha, when the surgeon was rasping with the broach handle, the lever of handle constantly loosened.
 
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Brand Name
LEFT - NAV COMPATIBLE DUAL-OFFSET ACCOLADE RASP HANDLE
Type of Device
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
william hanna
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key3603938
MDR Text Key4064182
Report Number0002249697-2014-00264
Device Sequence Number1
Product Code MAY
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
K123604
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Health Professional,health professional,oth
Reporter Occupation Other
Type of Report Initial
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 Number2124-1750
Device Lot NumberP6C42
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 01/08/2014
Initial Date FDA Received02/03/2014
Was Device Evaluated by Manufacturer? No
Date Device Manufactured05/24/2011
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Outcome(s) Other;
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