FDA Adverse Event
Other
Summary report: N
5CC HYDROSET INJECTABLE CEMENT
MDR report key: 2163624
·
Received June 10, 2011
Report
- Report Number
- 8010177-2011-00165
- Event Type
- Other
- Date Received
- June 10, 2011
- Date of Event
- April 12, 2011
- Report Date
- May 20, 2011
- Manufacturer
- STRYKER ORTHOPAEDICS LIMERICK
- Product Code
- GXP
- PMA / PMN Number
- K060763
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- NURSE
Narratives
Additional Manufacturer Narrative · 1
NA
Description of Event or Problem · 1
BEFORE SURGERY (CRANIOPLASTY), THE SURGEON OPENED THE DEVICE AND THE LID WAS GLUED TO THE PACKAGING AND WAS NO LONGER STERILE. THE SURGEON ALSO FOUND A HAIR INSIDE THE PACKAGING OF THE DEVICE. THE SURGEON THEN USED ANOTHER PRODUCT AND THERE WAS NO DELAY AND NO ADVERSE CONSEQUENCES FOR THE PT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 5CC HYDROSET INJECTABLE CEMENT | IMPLANT | GXP | STRYKER ORTHOPAEDICS LIMERICK | NA | M15S8IC00969 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |