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 |