FDA Adverse Event
Malfunction
Summary report: N
UNKNOWN PRODUCT - 3.0 AXSOS SCREWDRIVER
MDR report key: 1082451
·
Received July 22, 2008
Report
- Report Number
- 8031020-2008-00060
- Event Type
- Malfunction
- Date Received
- July 22, 2008
- Date of Event
- June 27, 2008
- Report Date
- June 27, 2008
- Manufacturer
- STRYKER OSTEOSYNTHESIS SELZACH
- Product Code
- HXX
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
ADD'L INFO HAS BEEN REQUESTED AND IF REC'D, WILL BE PROVIDED ON A SUPPLEMENTAL REPORT.
Description of Event or Problem · 1
IT WAS REPORTED THAT, "SURGEON WENT THROUGH 3 AXSOS SCREWDRIVERS. ALL THREE BROKE AT THE TIP".
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNKNOWN PRODUCT - 3.0 AXSOS SCREWDRIVER | INSTRUMENT | HXX | STRYKER OSTEOSYNTHESIS SELZACH | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Other |