FDA Adverse Event Other Summary report: N

OIC PEEK SIZE 11 MM - 8DEG

MDR report key: 1416581 · Received April 3, 2009

Report

Report Number
9617544-2009-00094
Event Type
Other
Date Received
April 3, 2009
Date of Event
January 9, 2009
Report Date
March 21, 2009
Manufacturer
STRYKER SPINE BORDEAUX
Product Code
KWQ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PRODUCT IS BEING RETURNED TO MANUFACTURER. INVESTIGATION IS UNDERWAY. ADDITIONAL INFORMATION WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT COMPLETION OF THE INVESTIGATION.

Description of Event or Problem · 1

CHINA MARKETING RECEIVED SOME OIC CAGE WITH TANTALUM. BUT THE PART NUMBER 6731108 (LOT NO. 48500) IS WRONG.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OIC PEEK SIZE 11 MM - 8DEG IMPLANT KWQ STRYKER SPINE BORDEAUX 48500

Patients

Seq Age Sex Outcome Treatment
1 UNK