FDA Adverse Event Other Summary report: N

DRILL F.10-20MM SCREWS,SAGI.SP

MDR report key: 1329193 · Received March 2, 2009

Report

Report Number
8010177-2009-00018
Event Type
Other
Date Received
March 2, 2009
Date of Event
June 18, 2007
Report Date
January 29, 2009
Manufacturer
STRYKER OSTEOSYNTHESIS FREIBURG
Product Code
HBE
PMA / PMN Number
K070876
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

ACTUAL DEVICE NOT EVALUATED BECAUSE THE DEVICE IS NOT AVAILABLE TO STRYKER. EVALUATION WILL BE CONDUCTED AND REPORTED IN THE FOLLOW UP.

Description of Event or Problem · 1

APPROXIMATELY 1.5 YEARS AGO, A GIRL BURNED HER CHEEK WHILE SURGEON WAS USING PART NUMBER 60-19820. (B)(6).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DRILL F.10-20MM SCREWS,SAGI.SP INSTRUMENT HBE STRYKER OSTEOSYNTHESIS FREIBURG NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK