FDA Adverse Event Death Summary report: N

SAFEDGE SAFEDGE 2108 SAGITTAL BLADE STERNUM REVISION

MDR report key: 18967201 · Received March 25, 2024

Report

Report Number
3015967359-2024-00551
Event Type
Death
Date Received
March 25, 2024
Date of Event
February 27, 2024
Report Date
March 25, 2024
Manufacturer
STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP
Product Code
GFA
UDI-DI
04546540042088
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

H6: THE QUALITY INVESTIGATION IS COMPLETE. H3 OTHER TEXT : DEVICE NOT RETURNED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING "OPENING OF THE STERNUM, INTRAOPERATIVELY, IT WAS REPORTED THAT THE SAW HAD FAILED, WHICH CAUSED MYOCARDIAL INJURY". FURTHER DETAILS PROVIDED STATED THAT THIS WAS AN ELECTIVE PROCEDURE FOR ATRIOVENTRICULAR SEPTUM CORRECTION. THE BLADE BEING USED WAS NOT REPORTED TO HAVE MALFUNCTIONED. IT WAS FURTHER REPORTED THAT DURING THE INCISION IN THE STERNUM, THE SAW WENT BEYOND THE BONE LIMITS AND REACHED STRUCTURES OF THE MYOCARDIAL MUSCLES. THE PATIENT DIED FOLLOWING THIS PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
500359 SAFEDGE SAFEDGE 2108 SAGITTAL BLADE STERNUM REVISION BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL GFA STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP 23137017 04546540042088

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Death 7208000000 SYSTEM 7 SAGITTAL SAW| 7215000000 STRYKER SMARTLIFE BATTERY PACK, LARGE