FDA Adverse Event Malfunction Summary report: Y

10G CURETTE

MDR report key: 11218301 · Received January 22, 2021

Report

Report Number
0001811755-2021-00326
Event Type
Malfunction
Date Received
January 22, 2021
Date of Event
December 31, 2020
Report Date
January 22, 2021
Manufacturer
STRYKER INSTRUMENTS-PUERTO RICO
Product Code
OCJ
UDI-DI
07613252574187
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS RECORD IS A CONSOLIDATION OF RECORDS SUMMARIZED AS A PART OF THE FDA VOLUNTARY MALFUNCTION SUMMARY REPORTING PROGRAM. REPORTED EVENTS: 1 EVENT WAS REPORTED FOR THIS QUARTER. PRODUCT RETURN STATUS: 1 DEVICE WAS NOT AVAILABLE FOR EVALUATION. 1 DEVICE WAS LABELED FOR SINGLE-USE. 1 DEVICE WAS NOT REPROCESSED OR REUSED. DEVICE NOT ACCESSIBLE FOR TESTING.

Description of Event or Problem · 1

THIS REPORT SUMMARIZES 1 MALFUNCTION EVENT IN WHICH THE DEVICE OR CUTTING ACCESSORY FRACTURED. 1 EVENT HAD INSUFFICIENT INFORMATION RECEIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
115973 10G CURETTE SPINAL CHANNELING INSTRUMENT, VERTEBROPLASTY OCJ STRYKER INSTRUMENTS-PUERTO RICO 0306620000 VMSR 07613252574187

Patients

Seq Age Sex Outcome Treatment
1