FDA Adverse Event Malfunction Summary report: N

STRYKER ENDOSCOPY

MDR report key: 30151 · Received December 22, 1995

Report

Report Number
30151
Event Type
Malfunction
Date Received
December 22, 1995
Date of Event
May 8, 1995
Report Date
December 18, 1995
Manufacturer
STRYKER CORP.
Product Code
HRX
Product Problem
Yes
Report Source
User Facility report

Narratives

Description of Event or Problem · 1

ARTHROSCOPY IN PROGRESS WHEN PHYSICIAN NOTED METAL SHAVING BEING LEFT IN KNEE BY 5.0 ANGLED BLADE. KNEE FLUSHED. SURGERY CONTINUED WITH NEW BLADE.DEVICE LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: SATISFACTORY CONDITION. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY.NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: VISUAL EXAMINATION. RESULTS OF EVALUATION: NONE OR UNKNOWN. CONCLUSION: NONE OR UNKNOWN. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: DEVICE RETURNED TO MANUFACTURER/DEALER/DISTRIBUTOR. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STRYKER ENDOSCOPY 5.0 MM ANGLED AGGRESSIVE MENISCUS HRX STRYKER CORP.

Patients

Seq Age Sex Outcome Treatment
1 UNK Other