FDA Adverse Event
Malfunction
Summary report: N
D/M ONE-SIDED CABLE TENSIONER
MDR report key: 2024036
·
Received March 11, 2011
Report
- Report Number
- 2249697-2011-00305
- Event Type
- Malfunction
- Date Received
- March 11, 2011
- Date of Event
- February 11, 2011
- Report Date
- February 17, 2011
- Manufacturer
- STRYKER ORTHOPAEDICS MAHWAH
- Product Code
- LXH
- PMA / PMN Number
- NA
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
IF ADDITIONAL INFORMATION BECOMES AVAILABLE THEN IT WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.
Description of Event or Problem · 1
NURSE (B)(6) FROM THE CENTRAL STERILIZATION DEPARTMENT REPORT VIA OUR SALES REP, (B)(4), THAT THE TIP OF THE CABLE TENSIONER, WHERE THE CABLE IS GUIDED THROUGH, WAS BENT DURING SURGERY. THEY REPORT MOREOVER THAT THE SURGERY WAS FINISHED WITH AN ALTERNATIVE DEVICE AND THE PATIENT WAS NOT IMPAIRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | D/M ONE-SIDED CABLE TENSIONER | INSTRUMENT | LXH | STRYKER ORTHOPAEDICS MAHWAH | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Required Intervention |