FDA Adverse Event
Injury
Summary report: N
PIONEER SURGICAL TECHNOLOGY (D.B.A. RTI SURGICAL) STERNAL CABLE SYSTEM
MDR report key: 6397362
·
Received March 10, 2017
Report
- Report Number
- 1833824-2017-00007
- Event Type
- Injury
- Date Received
- March 10, 2017
- Report Date
- March 10, 2017
- Manufacturer
- PIONEER SURGICAL TECHNOLOGY (D.B.A. RTI SURGICAL)
- Product Code
- JDQ
- UDI-DI
- 00846468040895
- PMA / PMN Number
- K935481
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
PIONEER SURGICAL TECHNOLOGY HAS TRIED UNSUCCESSFULLY TO GET MORE INFORMATION FROM THE (B)(6) HOSPITAL THAT THIS TOOK PLACE IN. THIS INCIDENT IS ONE OF THREE PATIENT INCIDENTS THAT WERE REPORTED AT THE SAME TIME FOR THE SAME DEVICE PART AND LOT NUMBER COMBINATION. NONE OF THESE INCIDENTS HAVE BEEN ABLE TO BE CONFIRMED AT THIS TIME. WE WILL CONTINUE TO REQUEST MORE INFORMATION. THE DHR WAS REVIEWED ALONG WITH STERILIZATION RECORDS AND ALL CONFORM TO SPECIFICATIONS. NOT RETURNED.
Description of Event or Problem · 1
IT WAS REPORTED FROM THE COUNTRY OF (B)(6) THAT A PATIENT HAD EXPERIENCED INFECTION AFTER A SURGERY USING PIONEER SURGICAL TECHNOLOGY STERNAL CABLE SYSTEM. NO MORE INFORMATION HAS BEEN MADE AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 177160 | PIONEER SURGICAL TECHNOLOGY (D.B.A. RTI SURGICAL) STERNAL CABLE SYSTEM | STERNAL CABLE SYSTEM | JDQ | PIONEER SURGICAL TECHNOLOGY (D.B.A. RTI SURGICAL) | 400-689 | 203638 | 00846468040895 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |