FDA Adverse Event Other Summary report: N

IM REAMER SHAFT, AO FITTING, DOVETAIL 8,0X448MM

MDR report key: 1933128 · Received December 10, 2010

Report

Report Number
9610622-2010-00539
Event Type
Other
Date Received
December 10, 2010
Date of Event
December 1, 2010
Report Date
December 2, 2010
Manufacturer
STRYKER OSTEOSYNTHESIS KIEL
Product Code
HTO
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE WILL NOT BE RETURNED FOR EVALUATION. IF THE DEVICE OR ADDITIONAL INFORMATION BECOMES AVAILABLE IT WILL BE SUBMITTED ON A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

THE HEAD OF THE PURCHASING DEPARTMENT AND OPERATIONS, REPORTS THAT THE CENTRAL STERILIZATION DEPARTMENT HAS PROOF OF PROTEIN ON THE REAMER SHAFT AFTER IT WAS CLEANED AND STERILIZED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 IM REAMER SHAFT, AO FITTING, DOVETAIL 8,0X448MM INSTRUMENT HTO STRYKER OSTEOSYNTHESIS KIEL NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Other