FDA Adverse Event Other Summary report: N

GUIDE WIRE, BALL-TIPPED 2.5X800 MM

MDR report key: 2155614 · Received June 30, 2011

Report

Report Number
9610622-2011-00289
Event Type
Other
Date Received
June 30, 2011
Date of Event
June 13, 2011
Report Date
June 13, 2011
Manufacturer
STRYKER OSTEOSYNTHESIS KIEL
Product Code
LXH
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OK, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE WILL NOT BE RETURNED FOR EVAL.

Description of Event or Problem · 1

IT WAS REPORTED, SURGEON WAS PUTTING IN BILATERAL GTN'S. HE USES A 2.5 BALL TIP GUIDE WIRE FOR ALL HIS NAILS (1806-0083'S). HE PUT THE 2.5 BALL TIP WIRE DOWN THE FEMORAL CANAL AND PLACED A 8MM GTN OVER THE WIRE. WHEN HE WENT TO PULL THE BALL TIP WIRE OUT OF THE CANAL, THE WIRE WOULD NOT GO THRU THE 8MM NAIL. HE HAD TO REMOVE THE NAIL TO GET THE BALL TIP WIRE OUT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GUIDE WIRE, BALL-TIPPED 2.5X800 MM INSTRUMENT LXH STRYKER OSTEOSYNTHESIS KIEL NA K170731

Patients

Seq Age Sex Outcome Treatment
1 15 YR Other