BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STRYKER INSTRUMENTS

    MDR report key: 2663039 · Received November 27, 2009

    Report

    Report Number
    2663039
    Event Type
    Malfunction
    Date Received
    November 27, 2009
    Date of Event
    November 1, 2009
    Report Date
    November 18, 2009
    Manufacturer
    STRYKER INSTRUMENTS, PRODUCT OF IRELAND
    Product Code
    DZJ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AR, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    HEAD TRAUMA. EMERGENCY SURGICAL CASE. A 1.5 WIRE PASS DRILL BIT TIP MISSING AFTER USE IN SURGERY. X-RAY TAKEN. FOREIGN OBJECT NOTED PER FILM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER INSTRUMENTS 1.5MM WIRE PASS DRILL DZJ STRYKER INSTRUMENTS, PRODUCT OF IRELAND 5820-103-15

    Patients

    Seq Age Sex Outcome Treatment
    1 19 YR Other