FDA Adverse Event
Malfunction
Summary report: N
UNKNOWN BLADE
MDR report key: 1911873
·
Received November 23, 2010
Report
- Report Number
- 9616696-2010-00343
- Event Type
- Malfunction
- Date Received
- November 23, 2010
- Date of Event
- October 26, 2010
- Report Date
- October 27, 2010
- Manufacturer
- STRYKER INSTRUMENTS CORK
- Product Code
- HAB
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE ACCOUNT WAS USING A (B)(4) CAST CUTTER, IT IS UNK WHAT TYPE OF BLADE WAS BEING USED. ATTEMPTS TO COLLECT THIS INFO HAVE BEEN UNSUCCESSFUL. THIS REPORT WILL BE UPDATED IF ADDITIONAL INFO IS RECEIVED.
Description of Event or Problem · 1
IT WAS REPORTED THAT THERE WERE NON-SEVERE BURNS TO PTS WHILE USING THE CAST CUTTER AND BLADE. ATTEMPTS TO COLLECT ADDITIONAL INFO FROM THE ACCOUNT HAVE BEEN UNSUCCESSFUL. THE ACCOUNT REPORTED THAT THEY ONLY WANTED THE MFR TO BE AWARE OF THE SITUATION AND THEY WERE NOT RETURNING THE DEVICE FOR EVAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNKNOWN BLADE | SAW BLADES & ACCESSORIES | HAB | STRYKER INSTRUMENTS CORK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |