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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO PRECISION FALCON OSCILLATING TIP SAW CARTRIDGE (25 X 1.37 X 105MM); INSTRUMENT, SURGICAL, ORTHOPAEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT

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STRYKER INSTRUMENTS-KALAMAZOO PRECISION FALCON OSCILLATING TIP SAW CARTRIDGE (25 X 1.37 X 105MM); INSTRUMENT, SURGICAL, ORTHOPAEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Catalog Number 6725137105
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Consequences Or Impact To Patient (2199)
Date of Event 11/29/2018
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The device is available for return.A follow up report will be filed once the quality investigation is complete.
 
Event or Problem Description
It was reported that during a total knee arthroplasty that two precision blades broke at the contact point of the precision saw.It was further reported that there was a short delay to get a new blade.It was also reported that there were no adverse consequences and that the procedure was completed successfully.This report is for the second blade that broke.
 
Additional Manufacturer Narrative
H3 & h6 investigation results indicate that the most probable root cause of the cartridge break is as a result of issues with the handpiece (b)(6).The td ost shaft broke between the link and the bottom bearing in the associated handpiece.The quality investigation is complete.
 
Event or Problem Description
It was reported that during a total knee arthroplasty that two precision blades broke at the contact point of the precision saw.It was further reported that there was a short delay to get a new blade.It was also reported that there were no adverse consequences and that the procedure was completed successfully.This report is for the second blade that broke.
 
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Brand Name
PRECISION FALCON OSCILLATING TIP SAW CARTRIDGE (25 X 1.37 X 105MM)
Common Device Name
INSTRUMENT, SURGICAL, ORTHOPAEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT
Manufacturer (Section D)
STRYKER INSTRUMENTS-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
MDR Report Key8176000
Report Number0001811755-2018-02830
Device Sequence Number2016026
Product Code HWE
UDI-Device Identifier07613327143775
UDI-Public07613327143775
Combination Product (Y/N)N
Initial Reporter StateCO
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source health professional
Initial Reporter Occupation Nurse
Type of Report Initial,Followup
Report Date (Section B) 02/11/2019
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
Operator of Device Health Professional
Device Expiration Date08/01/2023
Device Catalogue Number6725137105
Device Lot Number18232017
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/07/2019
Initial Date Received by Manufacturer 11/29/2018
Supplement Date Received by Manufacturer02/04/2019
Initial Report FDA Received Date12/18/2018
Supplement Report FDA Received Date02/11/2019
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
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