BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HOLDING SLEEVE FOR SCREWDRIVERS FOR SCREWHEADS:

    MDR report key: 2051567 · Received February 22, 2011

    Report

    Report Number
    8031020-2011-00047
    Event Type
    Malfunction
    Date Received
    February 22, 2011
    Date of Event
    December 16, 2010
    Report Date
    December 17, 2010
    Manufacturer
    STRYKER OSTEOSYNTHESIS SELZACH
    Product Code
    LXH
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

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

    Description of Event or Problem · 1

    IT WAS REPORTED, CAPTURE LOCKING MECHANISM JAMMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOLDING SLEEVE FOR SCREWDRIVERS FOR SCREWHEADS: INSTRUMENT LXH STRYKER OSTEOSYNTHESIS SELZACH NA M02874

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other