FDA Adverse Event Injury Summary report: N

2.3MM TAPERED ROUTER

MDR report key: 15362013 · Received September 6, 2022

Report

Report Number
3015967359-2022-01741
Event Type
Injury
Date Received
September 6, 2022
Date of Event
August 19, 2022
Report Date
November 17, 2022
Manufacturer
STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP
Product Code
HBE
UDI-DI
07613327096729
PMA / PMN Number
K143399
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A FOLLOW UP REPORT WILL BE FILED ONCE THE QUALITY INVESTIGATION IS COMPLETE. AWAITING DEVICE RETURN.

Additional Manufacturer Narrative · 0

H6: THE QUALITY INVESTIGATION IS COMPLETE.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A CRANIAL PROCEDURE, THE ROUTER BROKE AND THE ROUTER FRAGMENT WAS STUCK IN THE SURGICAL SITE. IT WAS ALSO REPORTED THAT THE BROKEN FRAGMENT WAS SUCCESSFULLY REMOVED WITH THE AID OF O-ARM AND C-ARM SCANS RESULTING IN A TWO HOUR DELAY TO THE PROCEDURE. IT WAS FURTHER REPORTED THAT THERE WERE NO ADVERSE CONSEQUENCES AS A RESULT OF THIS EVENT AND THE PROCEDURE WAS COMPLETED SUCCESSFULLY.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A CRANIAL PROCEDURE, THE ROUTER BROKE AND THE ROUTER FRAGMENT WAS STUCK IN THE SURGICAL SITE. IT WAS ALSO REPORTED THAT THE BROKEN FRAGMENT WAS SUCCESSFULLY REMOVED WITH THE AID OF O-ARM AND C-ARM SCANS RESULTING IN A TWO HOUR DELAY TO THE PROCEDURE. IT WAS FURTHER REPORTED THAT THERE WERE NO ADVERSE CONSEQUENCES AS A RESULT OF THIS EVENT AND THE PROCEDURE WAS COMPLETED SUCCESSFULLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2560714 2.3MM TAPERED ROUTER DRILLS, BURRS, TREPHINES & ACCESSORIES HBE STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP 5407FA2023 22129017 07613327096729

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention