FDA Adverse Event
Malfunction
Summary report: N
GUIDE WIRE, BALL-TIPPED, STERILE T2 HUMERUS Ø2.5X800 MM
MDR report key: 3982414
·
Received August 6, 2014
Report
- Report Number
- 0009610622-2014-00391
- Event Type
- Malfunction
- Date Received
- August 6, 2014
- Date of Event
- July 10, 2014
- Report Date
- July 10, 2014
- Manufacturer
- STRYKER TRAUMA KIEL
- Product Code
- LXH
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
DEVICE WILL NOT BE RETURNED. IF ADDITIONAL INFORMATION BECOMES AVAILABLE IT WILL BE PROVIDED ON A SUPPLEMENTAL REPORT.
Description of Event or Problem · 1
(B)(4) GUIDE WIRE WAS USED FOR T2 GTN SURGERY, BECAUSE OF NARROW CANAL, (SMALL DIAMETER FLEXIBLE REAMER CANNOT GO THROUGH WITH (B)(4)) THEN AFTER INSERT 8MM GTN OVER THE 1806-0083S, GUIDE WIRE COULD NOT BE PULL OUT. THE BALL WAS TOO BIG TO PASS THROUGH THE NAIL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 461963 | GUIDE WIRE, BALL-TIPPED, STERILE T2 HUMERUS Ø2.5X800 MM | ORTHOPEDIC MANUAL SURGICAL INSTRUMENT | LXH | STRYKER TRAUMA KIEL | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |