FDA Adverse Event Malfunction Summary report: N

PRECISION CARTG(18.3X1.33X105)

MDR report key: 2102973 · Received May 12, 2011

Report

Report Number
9616696-2011-00077
Event Type
Malfunction
Date Received
May 12, 2011
Date of Event
April 18, 2011
Report Date
April 18, 2011
Manufacturer
STRYKER IRELAND LTD.
Product Code
GFA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE SUBJECT TO THIS INVESTIGATION WAS RETURNED TO THE MFR FOR EVAL. IT WAS VISUALLY CONFIRMED THAT THE PACKAGING HAD BEEN DAMAGED. THE MFG HISTORY RECORDS WERE REVIEWED, NO ISSUES WERE IDENTIFIED WHICH MAY HAVE CONTRIBUTED TO THIS EVENT. THE LABEL FOR THIS DEVICE HAS A SYMBOL INDICATING "STERILE ONLY IF PACKAGE IS UNOPENED AND UNDAMAGED". THE ROOT CAUSE IS UNDETERMINED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PACKAGING OF THE BLADE WAS DAMAGED. IT WAS ALSO REPORTED THAT THE BLADE WAS NOT USED ON A PT AND THE STERILE AREA WAS NOT COMPROMISED. IT WAS FURTHER REPORTED THAT ANOTHER BLADE WAS READILY AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PRECISION CARTG(18.3X1.33X105) GFA STRYKER IRELAND LTD. 110300017

Patients

Seq Age Sex Outcome Treatment
1 UNK