FDA Adverse Event Injury Summary report: N

CABLE AND SLEEVE SET

MDR report key: 17535602 · Received August 12, 2023

Report

Report Number
MW5142497
Event Type
Injury
Date Received
August 12, 2023
Date of Event
December 15, 2021
Report Date
February 14, 2022
Manufacturer
STRYKER INC.
Product Code
JDQ
Report Source
Voluntary report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

PATIENT WAS REVISED AS 2 STAGE INFECTION WAS REPORTED ORIGINAL IMPLANT DATE UNKNOWN. (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
1215764 CABLE AND SLEEVE SET CERCLAGE, FIXATION JDQ STRYKER INC. 6704-0-510

Patients

Seq Age Sex Outcome Treatment
1 Unknown