FDA Adverse Event Other Summary report: N

TROCHANTERIC NAIL KIT, STST ?11X180MM X 125?

MDR report key: 1346797 · Received March 17, 2009

Report

Report Number
9610622-2009-00082
Event Type
Other
Date Received
March 17, 2009
Date of Event
February 23, 2009
Report Date
February 23, 2009
Manufacturer
STRYKER OSTEOSYNTHESIS KIEL
Product Code
HSB
PMA / PMN Number
K043431
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

DEVICE WILL NOT BE RETURNED. NO EVALUATION WILL BE PERFORMED. IF THE DEVICE OR ADDITIONAL INFORMATION BECOMES AVAILABLE, IT WILL BE REPORTED ON A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

THE HOSPITAL REPORTED THE FOLLOWING BY LETTER: "THE OR DEPARTMENT REPORTED THE FOLLOWING, THERE WAS NO SET SCREW IN THE KIT."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TROCHANTERIC NAIL KIT, STST ?11X180MM X 125? IMPLANT HSB STRYKER OSTEOSYNTHESIS KIEL NA K986085

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention