FDA Adverse Event Other Summary report: N

TROCHANTERIC NAIL KIT, TI ?12X170MM X 125?

MDR report key: 1617142 · Received February 23, 2010

Report

Report Number
9610622-2010-00082
Event Type
Other
Date Received
February 23, 2010
Date of Event
February 2, 2010
Report Date
February 2, 2010
Manufacturer
STRYKER OSTEOSYNTHESIS KIEL
Product Code
HSB
PMA / PMN Number
K034002
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

ADDITIONAL INFORMATION HAS BEEN REQUESTED AND IF RECEIVED, WILL BE PROVIDED ON A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

IT WAS REPORTED THAT, THE SET SCREW WAS NOT IN THE PACKAGE. AND, THE SURGEON USED SPARE PRODUCT INSTEAD OF IT, SO THE PROCEDURE WAS COMPLETED WITH NO PROBLEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TROCHANTERIC NAIL KIT, TI ?12X170MM X 125? IMPLANT HSB STRYKER OSTEOSYNTHESIS KIEL NA K205117

Patients

Seq Age Sex Outcome Treatment
1 UNK Other