BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    AVERAGE MEDIUM BLADE

    MDR report key: 4953180 · Received July 24, 2015

    Report

    Report Number
    MW5044911
    Event Type
    Malfunction
    Date Received
    July 24, 2015
    Date of Event
    July 23, 2015
    Report Date
    July 24, 2015
    Manufacturer
    STRYKER
    Product Code
    GFA
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    SAW BLADE BROKE IN THE SAW WHILE IN USE. THE PIECES STAYED IN THE SAW. PIECES (2) OF THE SAW BLADE WERE ACCOUNTED FOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    481661 AVERAGE MEDIUM BLADE GFA STRYKER 2296-3-111 15133017Q

    Patients

    Seq Age Sex Outcome Treatment
    1 56 YR