FDA Adverse Event Other Summary report: N

HYDROSET INJECTABLE CEMENT KIT 10CC

MDR report key: 2223818 · Received August 18, 2011

Report

Report Number
8010177-2011-00246
Event Type
Other
Date Received
August 18, 2011
Date of Event
July 19, 2011
Report Date
July 26, 2011
Manufacturer
STRYKER ORTHOPAEDICS LIMERICK
Product Code
GXP
PMA / PMN Number
K060763
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION IN PROGRESS, BUT NOT YET COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT PRIOR TO USE, THE CUSTOMER DISCOVERED PARTICLES IN THE CEMENT POWDER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HYDROSET INJECTABLE CEMENT KIT 10CC IMPLANT GXP STRYKER ORTHOPAEDICS LIMERICK NA IC01017

Patients

Seq Age Sex Outcome Treatment
1 UNK