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U.S. Department of Health and Human Services

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

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STRYKER INSTRUMENTS-KALAMAZOO SMARTLIFE LARGE ASPETIC HOUSING; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Catalog Number 7126120000
Device Problem Difficult to Open or Close (2921)
Patient Problems No Consequences Or Impact To Patient (2199); No Known Impact Or Consequence To Patient (2692)
Event Date 12/25/2018
Event Type  malfunction  
Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Reported events: 44 events were reported for this quarter.Product return status: 38 devices were received.2 devices were not available for evaluation.4 device investigation types have not yet been determined.  evaluation status: confirmed 1 reported event was confirmed during testing.1 device was found to be affected by a missing latch cam and screw.In progress: 37 device evaluations are in progress.Additional information: 44 devices were not labeled for single-use.44 devices were not reprocessed and reused.
 
Event Description
This report summarizes 44 malfunction events in which the device difficult to open or close.1 event had no known patient involvement or patient impact.43 events had patient involvement; no patient impact.
 
Event Description
This report summarizes 43 malfunction events in which the device difficult to open or close.43 events had patient involvement; no patient impact.
 
Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Supplemental rationale: 44 events were previously reported during the reporting period; however, 1 previously reported event in this report was subsequently reported under mfr report # 0001811755-2019-00715.43 previously reported events are included in this follow-up record.Product return status: 38 devices were received.5 devices were not available for evaluation.Event confirmation status: 8 reported events were confirmed.30 reported events were not confirmed.Evaluation results: 7 devices were found to be affected by a damaged o-ring 1 device was found to be affected by a missing latch cam and screw.30 devices had no problem found.Additional information: 43 devices were not labeled for single-use.43 devices were not reprocessed and reused.
 
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Brand Name
SMARTLIFE LARGE ASPETIC 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
MDR Report Key8285064
MDR Text Key134469915
Report Number0001811755-2019-00357
Device Sequence Number1
Product Code HWE
UDI-Device Identifier07613327128819
UDI-Public7613327128819
Combination Product (y/n)N
Number of Events Reported43
Summary Report (Y/N)Y
Report Source Manufacturer
Source Type company representative
Type of Report Initial,Followup
Report Date 04/29/2019
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
Device Operator No Information
Device Catalogue Number7126120000
Device Lot NumberVMSR
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 12/25/2018
Initial Date FDA Received01/29/2019
Supplement Dates Manufacturer Received12/25/2018
Supplement Dates FDA Received04/29/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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