FDA Adverse Event
Malfunction
Summary report: N
ROUND FLUTED BUR, LONG
MDR report key: 1900187
·
Received October 22, 2010
Report
- Report Number
- 9616696-2010-00312
- Event Type
- Malfunction
- Date Received
- October 22, 2010
- Date of Event
- September 28, 2010
- Report Date
- September 28, 2010
- Manufacturer
- STRYKER IRELAND LTD.
- Product Code
- HBE
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE SUBJECT TO THIS INVESTIGATION HAS NOT BEEN RETURNED TO THE MFR FOR EVAL. THE DEVICE IS CURRENTLY IN TRANSIT. THE MFG HISTORY RECORDS WERE REVIEWED, NO ISSUES WERE IDENTIFIED WHICH MAY HAVE CONTRIBUTED TO THIS EVENT. THE LABEL FOR THIS DEVICE HAS A SYMBOL INDICATING "STERILE ONLY IF PACKAGE IS UNOPENED AND UNDAMAGED". THE ROOT CAUSE IS UNDETERMINED.
Description of Event or Problem · 1
IT WAS REPORTED VIA THE AUSTRALIAN DISTRIBUTION SITE THAT THE PACKAGING OF THE BUR WAS DAMAGED. IT WAS ALSO REPORTED THAT THE BURR WAS NOT USED ON A PT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ROUND FLUTED BUR, LONG | DRILLS, BURS, TREPHINES & ACCESSORIES | HBE | STRYKER IRELAND LTD. | 10012017 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |