FDA Adverse Event Injury Summary report: N

CEMENT SIMPLEX ANTIBIOTIC BONE

MDR report key: 17531279 · Received August 12, 2023

Report

Report Number
MW5138194
Event Type
Injury
Date Received
August 12, 2023
Date of Event
September 18, 2020
Report Date
February 14, 2022
Manufacturer
STRYKER INC.
Product Code
MBB
Report Source
Voluntary report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

CLINICAL ADVERSE EVENT RECEIVED FOR PAIN AND SWELLING. EVENT IS NOT SERIOUS AND IS CONSIDERED MILD. EVENT IS NOT RELATED TO DEVICE AND IS POSSIBLY RELATED TO PROCEDURE. (B)(4). THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
940205 CEMENT SIMPLEX ANTIBIOTIC BONE BONE CEMENT, ANTIBIOTIC MBB STRYKER INC. 61969001 BHV0278

Patients

Seq Age Sex Outcome Treatment
1 Unknown