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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO SMARTLIFE SMALL ASPTC HOUSING; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT

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STRYKER INSTRUMENTS-KALAMAZOO SMARTLIFE SMALL ASPTC HOUSING; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Catalog Number 7222120000
Device Problem Biocompatibility (2886)
Patient Problem No Patient Involvement (2645)
Event Date 03/02/2017
Event Type  malfunction  
Manufacturer Narrative
This mdr report is part of the malfunction summary reporting program, exemption number (b)(4).Two devices were received for evaluation; 2 events were confirmed during testing.2 devices were found to be affected by broken housing.This device is not repairable and was not returned to the user facility.There were no remedial actions taken.This device is not labeled for single-use.
 
Event Description
This report summarizes 2 malfunction events in which the device had a condition in which the non-sterile battery had the potential to be exposed to the surgical site.Two reported events had no patient involvement; no patient impact.
 
Manufacturer Narrative
(b)(4).1 device was received for evaluation; 1 event was confirmed during testing.1 device was found to be affected by broken housing.This device is not repairable and was not returned to the user facility.There were no remedial actions taken.This device is not labeled for single-use.
 
Event Description
This report summarizes 3 malfunction events in which the device had a condition in which the non-sterile battery had the potential to be exposed to the surgical site.3 reported events had no patient involvement; no patient impact.
 
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Brand Name
SMARTLIFE SMALL ASPTC HOUSING
Type of Device
INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-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 Key6748176
MDR Text Key81381876
Report Number0001811755-2017-01497
Device Sequence Number1
Product Code HWE
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported3
Summary Report (Y/N)Y
Report Source Manufacturer
Source Type company representative
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 10/13/2017
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 No Information
Device Catalogue Number7222120000
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 03/02/2017
Initial Date FDA Received07/27/2017
Supplement Dates Manufacturer Received03/02/2017
Supplement Dates FDA Received10/13/2017
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
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