FDA Adverse Event Malfunction Summary report: N

END CAP, STANDARD 8 MM

MDR report key: 2167005 · Received June 10, 2011

Report

Report Number
9610622-2011-00247
Event Type
Malfunction
Date Received
June 10, 2011
Date of Event
May 16, 2011
Report Date
May 24, 2011
Manufacturer
STRYKER OSTEOSYNTHESIS KIEL
Product Code
HSB
PMA / PMN Number
K003018
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE WILL NOT BE RETURNED. ADDITIONAL INFORMATION HAS BEEN REQUESTED. ONCE THE INVESTIGATION HAS BEEN COMPLETED, ANY ADDITIONAL INFORMATION WILL BE REPORTED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

THE CHAIRMAN FOR THE DEPARTMENT OF ORTHOPAEDICS REPORTED TO SR DIRECTOR OF R&D AT STRYKER OSTEOSYNTHESIS, (B)(6), THAT IT IS OBSERVED, IN SEVERAL CASES THAT THE END CAPS DID NOT FIT ONTO THE NAILS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 END CAP, STANDARD 8 MM IMPLANT HSB STRYKER OSTEOSYNTHESIS KIEL NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Other