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