FDA Adverse Event
Malfunction
Summary report: N
5CC HYDROSET INJECTABLE CEMENT
MDR report key: 2479231
·
Received February 24, 2012
Report
- Report Number
- 8010177-2012-00044
- Event Type
- Malfunction
- Date Received
- February 24, 2012
- Date of Event
- February 3, 2012
- Report Date
- February 3, 2012
- Manufacturer
- STRYKER ORTHOPAEDICS LIMERICK
- Product Code
- GXP
- PMA / PMN Number
- K060763
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VI
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE REPORTED EVENT THAT THE PRODUCT DID NOT HARDEN FAST ENOUGH COULD NOT BE CONFIRMED. ALTHOUGH THE COMPLAINED DEVICE WAS NOT RETURNED, THE BMR WAS REVIEWED AND NO DISCREPANCIES WERE NOTED. THE TESTS OF THE RETAIN SAMPLE PASSED THE DEFINED SPECIFICATIONS. BASED ON THE INVESTIGATION THE ROOT CAUSE WAS ATTRIBUTED TO A USER RELATED ISSUE: THE USER MIXED THE CEMENT FOR 4 MINUTES INSTEAD FOR 4.5 MINUTES, SO THE DEVICE COULD NOT SET UP. INDICATIONS FOR ANY MATERIAL, MANUFACTURING OR DESIGN RELATED ISSUES WERE NOT FOUND IN THE INVESTIGATION.
Description of Event or Problem · 1
SURGEON USING HYDROSET TO CLOSE CRANIOTOMY AND AFTER 4 MINUTES THE PRODUCT WAS RUNNY AND DID NOT SET UP. ANOTHER PRODUCT USED TO COMPLETE THE SURGERY. NO DELAY OR MEDICAL INTERVENTION WAS REQUIRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 5CC HYDROSET INJECTABLE CEMENT | IMPLANT | GXP | STRYKER ORTHOPAEDICS LIMERICK | NA | MB5SHIC01150 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |