FDA Adverse Event
Injury
Summary report: N
UNKNOWN_FRO_PRODUCT
MDR report key: 6090313
·
Received November 9, 2016
Report
- Report Number
- 0008010177-2016-00265
- Event Type
- Injury
- Date Received
- November 9, 2016
- Date of Event
- April 8, 2014
- Report Date
- October 17, 2016
- Manufacturer
- STRYKER LEIBINGER FREIBURG
- Product Code
- JEY
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
DEVICE IS NOT AVAILABLE FOR EVALUATION. IF ADDITIONAL INFORMATION IS RECEIVED IT WILL BE REPORTED ON A SUPPLEMENTAL REPORT. DEVICE NOT AVAILABLE FOR RETURN.
Description of Event or Problem · 1
ACCORDING TO ALLEGATIONS MADE IN A LAWSUIT, A PATIENT UNDERWENT A PROCEDURE WHERE AN IMPLANT WAS USED TO REPAIR HIS MANDIBLE. SUBSEQUENTLY, THE PATIENT ALLEGES HE EXPERIENCED NERVE DAMAGE AS WELL AS DAMAGE TO HIS BONE STRUCTURE AND JAW INTEGRITY. NO FURTHER INFORMATION REGARDING THE PRODUCT HAS BEEN PROVIDED. AT THIS POINT, STRYKER IS UNABLE TO ASCERTAIN WHICH ONE OF ITS PRODUCTS WAS ACTUALLY USED AND WILL NOT BE ABLE TO OBTAIN THE PRODUCT EXCEPT WITHIN THE LITIGATION PROCESS, IF AT ALL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 740415 | UNKNOWN_FRO_PRODUCT | IMPLANT | JEY | STRYKER LEIBINGER FREIBURG |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |