FDA Adverse Event Injury Summary report: N

STRYKER STABLECUT OSC FLAT MI 2K BLADE

MDR report key: 1387725 · Received May 20, 2009

Report

Report Number
1825034-2009-00093
Event Type
Injury
Date Received
May 20, 2009
Date of Event
April 8, 2009
Report Date
April 21, 2009
Manufacturer
BIOMET ORTHOPEDICS
Product Code
GFA
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE USER FACILITY IS OUTSIDE OF THE UNITED STATES. NO MEDWATCH REPORT WAS RECEIVED. NO USER FACILITY INFORMATION IS AVAILABLE. REVIEW OF THE STERILIZATION CERTIFICATION FOUND THAT LOT WAS STERILE RELEASED IN 2009. THE PRODUCT WAS MANUFACTURED BY SYNVASIVE TECHNOLOGY, INC. AND DISTRIBUTED BY ANOTHER CO.

Additional Manufacturer Narrative · 1

THE COMPONENT WAS FORWARDED TO MANUFACTURER/SUPPLIER, SYNVASIVE TECHNOLOGY, IN 2009 FOR EVALUATION. A REPORT WITH THE INVESTIGATION FINDINGS FROM SYNVASIVE WAS FORWARDED TO BIOMET A WEEK LATER. EVALUATION OF THE RETURNED DEVICE CONFIRMED THAT THE ROOT CAUSE OF THE FRACTURE COULD BE ATTRIBUTED TO MISUSE OR STRIKING A METAL OBJECT. CORRECTION - REVIEW OF RECEIVING CERTIFICATION FOUND THAT LOT WAS STERILE RELEASED ON OCTOBER 29, 2008.

Description of Event or Problem · 1

IT WAS REPORTED THAT PATIENT UNDERWENT TOTAL KNEE ARTHROPLASTY IN 2009. SUBSEQUENTLY, THE POST-OPERATIVE RADIOGRAPHS REVEALED A FOREIGN BODY IN THE TIBIA. THE SURGEON NOTICED THAT THE BLADE OF THE MIK BLADE WAS FRACTURED AND BELIEVES THAT THIS MAY HAVE OCCURRED AS A RESULT OF CONTACT WITH A RETRACTOR. THIS WENT UNNOTICED DURING THE SURGERY. A REVISION PROCEDURE HAS NOT BEEN REPORTED TO DATE.

Description of Event or Problem · 1

IT WAS REPORTED THAT PATIENT UNDERWENT TOTAL KNEE ARTHROPLASTY IN 2009. SUBSEQUENTLY, THE POST-OPERATIVE RADIOGRAPHS REVEALED A FOREIGN BODY IN THE TIBIA. THE SURGEON NOTICED THAT THE BLADE OF THE MIK BLADE WAS FRACTURED AND BELIEVES THAT THIS MAY HAVE OCCURRED AS A RESULT OF CONTACT WITH A RETRACTOR. THIS WENT UNNOTICED DURING THE SURGERY. A REVISION PROCEDURE HAS NOT BEEN REPORTED TO DATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STRYKER STABLECUT OSC FLAT MI 2K BLADE BLADE, INSTRUMENT GFA BIOMET ORTHOPEDICS N/A 98W215

Patients

Seq Age Sex Outcome Treatment
1 83 YR Hospitalization| R