FDA Adverse Event
Other
Summary report: N
15CC HYDROSET INJECTABLE CEMENT
MDR report key: 1993465
·
Received February 11, 2011
Report
- Report Number
- 8010177-2011-00044
- Event Type
- Other
- Date Received
- February 11, 2011
- Date of Event
- January 20, 2011
- Report Date
- January 20, 2011
- Manufacturer
- STRYKER ORTHOPAEDICS LIMERICK
- Product Code
- GXP
- PMA / PMN Number
- K060763
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE ROOT CAUSE OF THE FAILURE IS ATTRIBUTED TO A MISUSE OF THE USER. THE DURABILITY OF HYDROSET WAS EXPIRED AND THE LABEL OUTSIDE OF THE BOX WAS READABLE. THEREFORE, NO CORRECTIVE ACTIONS ARE DEEMED NECESSARY AT THIS TIME.
Description of Event or Problem · 1
PER CUSTOMER, EXPIRED HYDROSET WAS USED IN A RECENT CASE AND IS STILL IN PATIENT'S SKULL. SALES REP WAS NOT IN CASE WHEN PROCEDURE WAS DONE. NO FURTHER INFORMATION IS AVAILABLE AT THIS TIME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 15CC HYDROSET INJECTABLE CEMENT | IMPLANT | GXP | STRYKER ORTHOPAEDICS LIMERICK | NA | IC00484 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |