FDA Adverse Event Malfunction Summary report: N

RPS SELF HOLDING HEXAG SCREWDRIVER 4.5 MM

MDR report key: 1640979 · Received February 5, 2010

Report

Report Number
9617544-2009-00568
Event Type
Malfunction
Date Received
February 5, 2010
Manufacturer
STRYKER SPINE BORDEAUX
Product Code
LXH
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B) (4). AS PART OF A QUALITY SYSTEM IMPROVEMENT PLANT, STRYKER CORP CONDUCTED A 2 YR RETROSPECTIVE MDR REVIEW TO ENSURE APPROPRIATE MDR REPORTING DECISIONS. EVENTS REPORTED TO STRYKER FROM (B) (6) 2006 TO (B) (6) 2008 WERE WITHIN SCOPE OF THIS RETROSPECTIVE REVIEW. THESE EVENTS ARE PART OF A RETROSPECTIVE SUMMARY REPORT BEING SUBMITTED UNDER EXEMPTION #(B) (4). THERE ARE 286 REPORTABLE EVENTS ASSOCIATED WITH THIS EVENT TYPE (MALFUNCTION - DOES NOT PERFORM AS INTENDED) AND PRODUCT CODE LXH.

Description of Event or Problem · 1

THE BALL OF HEXAGONAL TIP OF DIAPASON SELF HOLDING 4.5MM SCREWDRIVER HAS NOT BEEN WORKING. SO THE SCREWDRIVER CANNOT HOLD BLOCKER TIGHTLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RPS SELF HOLDING HEXAG SCREWDRIVER 4.5 MM NA LXH STRYKER SPINE BORDEAUX NA NA

Patients

Seq Age Sex Outcome Treatment
1 NA