FDA Adverse Event Malfunction Summary report: N

UNKNOWN_RECONSTRUCTIVE_PRODUCT

MDR report key: 3672378 · Received March 11, 2014

Report

Report Number
0002249697-2014-00721
Event Type
Malfunction
Date Received
March 11, 2014
Date of Event
February 13, 2014
Report Date
February 13, 2014
Manufacturer
STRYKER ORTHOPAEDICS-MAHWAH
Product Code
JWH
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

CATALOGUE NUMBER UNKNOWN AT THIS TIME. DEVICE DESCRIPTION REPORTED AS AN UNKNOWN REAMING ATTACHMENT.WHEN COMPLETED, THE EVALUATION SUMMARY WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.

Additional Manufacturer Narrative · 1

AN EVENT REGARDING AN UNKNOWN REAMER THAT IS TOO SMALL FOR THE STEM AND IS WOBBLING WAS REPORTED. THE EVENT WAS NOT CONFIRMED. CONCLUSIONS: THE EVENT COULD NOT BE CONFIRMED NOR THE ROOT CAUSE DETERMINED BECAUSE THE DEVICE WAS NOT RETURNED FOR EVALUATION AND INSUFFICIENT INFORMATION WAS PROVIDED. CONSULTATION WITH THE SALES REPRESENTATIVE REVEALED THAT THE USER WAS USING THE WRONG ATTACHMENT. IT IS LIKELY THERE ARE NO ISSUES WITH THE REAMER BUT DEVICE EVALUATION WOULD BE NECESSARY TO COMPLETELY RULE OUT ANY ISSUES WITH THE REAMER.

Description of Event or Problem · 1

THE CUSTOMER STATES THE SECURE FIT HIP SYSTEM IS WOBBLING. UPDATE -CUSTOMER STATES THE REAMER ATTACHMENT FROM STRYKER ORTHOPAEDICS IS TOO SMALL FOR THE HIP STEM. SHE SAID THE REAMER ATTACHMENT WAS WOBBLING. THERE WAS NO UNINTENDED CUTTING.

Description of Event or Problem · 1

THE CUSTOMER STATES THE SECURE FIT HIP SYSTEM IS WOBBLING. UPDATE: CUSTOMER STATES THE REAMER ATTACHMENT FROM STRYKER ORTHOPAEDICS IS TOO SMALL FOR THE HIP STEM. SHE SAID THE REAMER ATTACHMENT WAS WOBBLING. THERE WAS NO UNINTENDED CUTTING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
145314 UNKNOWN_RECONSTRUCTIVE_PRODUCT INSTRUMENT JWH STRYKER ORTHOPAEDICS-MAHWAH UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Other