BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STRYKER INSTRUMENTS

    MDR report key: 680636 · Received February 8, 2006

    Report

    Report Number
    MW1037969
    Event Type
    Malfunction
    Date Received
    February 8, 2006
    Date of Event
    January 25, 2006
    Report Date
    January 30, 2006
    Manufacturer
    STRYKER INSTRUMENTS
    Product Code
    JDZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    WHILE PREPARING BONE CEMENT IN STRYKER MIXING BOWLS, HANDLE WAS BROKEN AND RPTR WAS UNABLE TO MIX BONE CEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER INSTRUMENTS HIGH VACUUM MIXING BOWL JDZ STRYKER INSTRUMENTS * 05305012

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR