BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ORTHOLOCK EX-PIN 3X110

    MDR report key: 4202228 · Received October 13, 2014

    Report

    Report Number
    4202228
    Event Type
    Malfunction
    Date Received
    October 13, 2014
    Date of Event
    October 8, 2014
    Report Date
    October 13, 2014
    Manufacturer
    STRYKER INSTRUMENTS
    Product Code
    HAW
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT UNDERGOING SURGERY, IDENTIFIED THAT NAVIGATION PIN WAS BROKEN. COULD NOT BE FOUND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    647519 ORTHOLOCK EX-PIN 3X110 NAVIGATION PIN HAW STRYKER INSTRUMENTS * *

    Patients

    Seq Age Sex Outcome Treatment
    1 *