BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STRYKER

    MDR report key: 203913 · Received December 28, 1998

    Report

    Report Number
    MW1015306
    Event Type
    Injury
    Date Received
    December 28, 1998
    Date of Event
    January 14, 1998
    Report Date
    December 28, 1998
    Manufacturer
    STRYKER INSTRUMENTS DIVISION OF STRYKER CORPORATION
    Product Code
    DZH
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    ADD'L INFO REC'D 10/28/99: PT HAS BEEN UNABLE TO BRING HER TALENT AND FUTURE ASPECTS BACK TO THE LEVEL IT ONCE WAS DUE TO HER LIP AND TONGUE BURN INJURIES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER HANDPIECE/DRILL DZH STRYKER INSTRUMENTS DIVISION OF STRYKER CORPORATION COMMAND 2 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 17 YR Disability