FDA Adverse Event Malfunction Summary report: N

STRYKER INTERVENTIONAL SPINE

MDR report key: 6956280 · Received October 17, 2017

Report

Report Number
6956280
Event Type
Malfunction
Date Received
October 17, 2017
Date of Event
September 28, 2017
Report Date
September 28, 2017
Manufacturer
STRYKER INSTRUMENTS
Product Code
HRX
UDI-DI
0705115000
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

PERCUTANEOUS VERTEBROPLASTY. IVAS BALLOON CATHETER RUPTURED DURING PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
734120 STRYKER INTERVENTIONAL SPINE IVAS INFLATABLE VERTEBRAL AUGMENTATION SYSTEM HRX STRYKER INSTRUMENTS 15219012 0705115000

Patients

Seq Age Sex Outcome Treatment
1 83 YR