FDA Adverse Event Malfunction Summary report: N

K-WIRE CUTTING PLIERS (MAX 1.6MM)

MDR report key: 2191929 · Received July 22, 2011

Report

Report Number
8010177-2011-00206
Event Type
Malfunction
Date Received
July 22, 2011
Date of Event
June 30, 2011
Report Date
June 30, 2011
Manufacturer
STRYKER OSTEOSYNTHESIS FREIBURG
Product Code
LXH
PMA / PMN Number
EXEMPT
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION IN PROGRESS BUT NOT YET COMPLETE.

Description of Event or Problem · 1

CRACKS AT THE INNER SIDE OF THE GRIP PARTS WERE FOUND DURING INSPECTION OF THE RETURNED LONER KIT FROM THE HOSP. THERE WAS NO REPORT FROM THE HOSP ON THIS ISSUE. THEREFORE, THERE IS NO INFO AS TO HOW THESE CRACKS WERE FORMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 K-WIRE CUTTING PLIERS (MAX 1.6MM) INSTRUMENT LXH STRYKER OSTEOSYNTHESIS FREIBURG NA AA10

Patients

Seq Age Sex Outcome Treatment
1 UNK