FDA Adverse Event
Injury
Summary report: N
STRYKER 100 COMMAND RECIPROCATING SAW
MDR report key: 29955
·
Received January 17, 1996
Report
- Report Number
- 29955
- Event Type
- Injury
- Date Received
- January 17, 1996
- Date of Event
- November 29, 1995
- Report Date
- January 10, 1996
- Manufacturer
- STRYKER INSTRUMENTS DIV. STRYKER CORP.
- Product Code
- DZH
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- NY, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
DURING USE, RECIPROCATING SAW LEAKED BLACK FLUID INTO PT'S ORAL CAVITY. INSTRUMENT WAS REMOVED FROM FIELD AND SENT TO BIOMEDICAL ENGINEERING FOR EVALUATION. PT'S ORAL CAVITY WAS IRRIGATED WITH 1000 CC OF SALINE. PROCEDURE WAS COMPLETED. PT WAS IN STABLE CONDITION. AT POST-OP, NO INFECTION; NO SEQUELAE FROM INCIDENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | STRYKER 100 COMMAND RECIPROCATING SAW | DENTAL SAW | DZH | STRYKER INSTRUMENTS DIV. STRYKER CORP. | UNKNOWN | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 33 YR | Required Intervention |