FDA Adverse Event Malfunction Summary report: N

#7 SCORPIO 4:1 CERAMIC BLOCKS

MDR report key: 1925111 · Received November 23, 2010

Report

Report Number
2249697-2010-01606
Event Type
Malfunction
Date Received
November 23, 2010
Date of Event
November 4, 2010
Report Date
November 4, 2010
Manufacturer
STRYKER ORTHOPAEDICS MAHWAH
Product Code
LXH
PMA / PMN Number
NA
Removal / Correction Number
2249697-12/14/09-012
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION. THIS IS THE SAME EVENT AS: MFR # 2249697-2010-01605, 01607, 01608.

Description of Event or Problem · 1

IT WAS REPORTED, "AS PART OF THE ROUTINE INSPECTION ACCORDING TO THE GUIDELINES IN (B)(4), THE STERILE SERVICES MANAGER REPORTED VIA THE SALES REP THAT 10 CUTTING BLOCKS HAD FAILED INSPECTION AND THEY WERE ALL MISSING CERAMIC RAILS". THREE DEVICES CATALOG # 8000-0007 (UNK LOT#) WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 #7 SCORPIO 4:1 CERAMIC BLOCKS INSTRUMENT LXH STRYKER ORTHOPAEDICS MAHWAH NA UNK

Patients

Seq Age Sex Outcome Treatment
1 NA Other