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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 Known Impact Or Consequence To Patient (2692)
Event Date 06/02/2017
Event Type  malfunction  
Manufacturer Narrative
(b)(4).Eighteen events were reported for this quarter.Fifteen devices were received for evaluation; fifteen events were confirmed during testing.Nine devices were found to be affected by fractured housing.Five devices were found to have missing components.One device was found to have a swollen component.Three devices are available for evaluation but have not yet been received.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 18 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.Thirteen events had no patient involvement; no patient impact.Three events had patient involvement; no patient impact.Two events had no known patient involvement; no known patient impact.
 
Manufacturer Narrative
This mdr report is part of the malfunction summary reporting program, exemption number (b)(4).One device was received for evaluation; 1 event was confirmed during testing.One device was found to be affected by fractured housing rails.This device is not repairable and was not returned to the user facility.Correction: 2 devices were expected for evaluation but were not received.There were no remedial actions taken.This device is not labeled for single-use.
 
Event Description
This report summarizes 18 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.Thirteen events had no patient involvement; no patient impact.Three events had patient involvement; no patient impact.Two events had no known patient involvement; no known 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
zachary baker
4100 east milham avenue
kalamazoo, MI 49001
2693237700
MDR Report Key6980719
MDR Text Key91262672
Report Number0001811755-2017-02069
Device Sequence Number1
Product Code HWE
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported18
Summary Report (Y/N)Y
Report Source Manufacturer
Source Type company representative
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 01/26/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/26/2017
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
Date Manufacturer Received06/02/2017
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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