FDA Adverse Event Malfunction Summary report: N

TAPERED CROSS CUT BUR, SHORT

MDR report key: 2904160 · Received January 3, 2013

Report

Report Number
9616696-2013-90003
Event Type
Malfunction
Date Received
January 3, 2013
Date of Event
December 7, 2012
Report Date
December 7, 2012
Manufacturer
STRYKER IRELAND LTD
Product Code
HBE
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE BLADES AND PACKAGING SUBJECT TO THIS INVESTIGATION WERE NOT RETURNED FOR EVAL. THE MANUFACTURING HISTORY RECORDS WERE REVIEWED, NO ISSUES WERE IDENTIFIED WHICH MAY HAVE CONTRIBUTED TO THIS EVENT. IF THE BLADES AND PACKAGING ARE RETURNED. AN EVALUATION WILL BE PERFORMED AND A FOLLOW-UP MDR WILL BE SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT AT RECEIPT OF THE DEVICES AT THE HOSPITAL, IT WAS NOTED THAT THERE WAS A POTENTIAL STERILITY BREACH ON THE PACKAGING OF TEN DEVICES. IT WAS ALSO REPORTED THAT THESE DEVICES WERE NOT USED ON A PT AND THERE WERE NO DELAYS AS A RESULT OF THIS EVENT. IT WAS FURTHER REPORTED THAT THE OUTER SHIPPING BOX, WHICH CONTAINED THE DEVICES, WAS DAMAGED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2477 TAPERED CROSS CUT BUR, SHORT HBE STRYKER IRELAND LTD 12212017

Patients

Seq Age Sex Outcome Treatment
1 UNK