MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO CORDLESS DRIVER 4 HANDPIECE; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT

Model Number 4405000000

Device Problem Fluid/Blood Leak (1250)

Patient Problems No Patient Involvement (2645); No Known Impact Or Consequence To Patient (2692)

Event Date 12/31/2019

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: 18 events were reported for this quarter.Product return status: 18 devices were received.Event confirmation status: 13 reported events were confirmed.5 reported events were not confirmed.Evaluation results: 2 devices were found to be affected by a worn or damaged handle assembly.1 device was found to be affected by a worn or damaged handle assembly and corrosion.5 devices were found to be affected by non-stryker components.6 devices did not have a root cause established.4 devices had no problem found.Additional information: 18 devices were not labeled for single-use.18 devices were not reprocessed or reused.

Event Description

This report summarizes 18 malfunction events in which the device was reportedly leaking.17 events had no patient involvement; no patient impact.1 event had no known patient involvement or patient impact.

• Brand Name: CORDLESS DRIVER 4 HANDPIECE
• 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: zach baker ; 4100 east milham avenue; kalamazoo, MI 49001 ; 2693237700
• MDR Report Key: 9637270
• MDR Text Key: 177623070
• Report Number: 0001811755-2020-00319
• Device Sequence Number: 1
• Product Code: HWE
• UDI-Device Identifier: 07613252481355
• UDI-Public: 07613252481355
• Combination Product (y/n): N
• Reporter Country Code: US
• Number of Events Reported: 18
• Summary Report (Y/N): Y
• Report Source: Manufacturer
• Source Type: company representative
• Reporter Occupation: Other
• Type of Report: Initial
• Report Date: 01/28/2020

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 01/28/2020
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: No Information
• Device Model Number: 4405000000
• Device Catalogue Number: 4405000000
• Was Device Available for Evaluation?: No
• Date Manufacturer Received: 12/31/2019
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Is the Device Single Use?: No
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Reuse
• Patient Sequence Number: 1