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 |