BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STRYKER

    MDR report key: 7556537 · Received May 30, 2018

    Report

    Report Number
    MW5077543
    Event Type
    Malfunction
    Date Received
    May 30, 2018
    Date of Event
    May 22, 2018
    Report Date
    May 25, 2018
    Manufacturer
    STRYKER
    Product Code
    JEW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CT, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SMALL TIP OF PICK BROKE OFF IN PT DURING PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    394120 STRYKER DENTAL PICK JEW STRYKER 700151 X00272

    Patients

    Seq Age Sex Outcome Treatment
    1