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