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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO SYSTEM 6 SAGITTAL SAW; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT

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STRYKER INSTRUMENTS-KALAMAZOO SYSTEM 6 SAGITTAL SAW; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Catalog Number 6208000000
Medical Device Problem Code Device Remains Activated (1525)
Health Effect - Clinical Code No Patient Involvement (2645)
Date of Event 01/01/2019
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Reported events: 4 events were reported for this quarter.  product return status: 4 device investigation types have not yet been determined.Additional information: 4 devices were not labeled for single-use.4 devices were not reprocessed and reused.
 
Event or Problem Description
This report summarizes 4 malfunction events in which the device had run-on.4 events had no patient involvement; no patient impact.
 
Additional Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Supplemental rationale corrected data: 4 previously reported events are included in this follow-up record.Product return status 4 devices were received.Event confirmation status 4 reported events were confirmed.Evaluation results 2 devices were found to be affected by corroded and damaged internal components.1 device was found to be affected by a damaged electrical component.1 device was found to be affected by corroded internal components.
 
Event or Problem Description
This report summarizes 4 malfunction events in which the device had run-on.4 events had no patient involvement; no patient impact.
 
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Brand Name
SYSTEM 6 SAGITTAL SAW
Common Device Name
INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT
Manufacturer (Section D)
STRYKER INSTRUMENTS-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
MDR Report Key8546001
Report Number0001811755-2019-01353
Device Sequence Number16235033
Product Code HWE
UDI-Device Identifier07613154392711
UDI-Public07613154392711
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
Number of Events Summarized4
Summary Report (Y/N)Y
Reporter Type Manufacturer
Report Source company representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 07/08/2019
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 No Information
Device Catalogue Number6208000000
Was Device Available for Evaluation? No
Initial Date Received by Manufacturer 01/01/2019
Supplement Date Received by Manufacturer01/01/2019
Initial Report FDA Received Date04/24/2019
Supplement Report FDA Received Date07/08/2019
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
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