FDA Adverse Event
Malfunction
Summary report: N
UNKNOWN_INSTRUMENTSTIRE_PRODUCT
MDR report key: 3624324
·
Received February 12, 2014
Report
- Report Number
- 0001811755-2014-00455
- Event Type
- Malfunction
- Date Received
- February 12, 2014
- Date of Event
- January 13, 2014
- Report Date
- January 17, 2014
- Manufacturer
- STRYKER INSTRUMENTS-KALAMAZOO
- Product Code
- GFF
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- ND, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 1
DEVICE NOT AVAILABLE FOR EVALUATION.
Description of Event or Problem · 1
IT WAS REPORTED THAT A BUR SHATTERED INTRAOPERATIVELY DURING A FACIAL OSTEOTOMY. IT WAS REPORTED THAT THIS WAS ONE OF 3 BURS USED DURING THIS PROCEDURE. NO MEDICAL INTERVENTION, ADVERSE CONSEQUENCES OR SURGICAL DELAY AS A RESULT OF THIS EVENT WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 92734 | UNKNOWN_INSTRUMENTSTIRE_PRODUCT | UNKNOWN | GFF | STRYKER INSTRUMENTS-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |