FDA Adverse Event Malfunction Summary report: N

SIMPLEX TOBRAMYCIN 1 PK

MDR report key: 9666059 · Received February 4, 2020

Report

Report Number
0002249697-2020-00218
Event Type
Malfunction
Date Received
February 4, 2020
Date of Event
January 3, 2020
Report Date
January 25, 2023
Manufacturer
STRYKER ORTHOPAEDICS-MAHWAH
Product Code
LOD
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
HK
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

REPORTED EVENT: AN EVENT REGARDING DAMAGE (MATERIAL FRAGMENTS) INVOLVING A SIMPLEX AMPOULE WAS REPORTED. THE EVENT WAS NOT CONFIRMED. METHOD & RESULTS: PRODUCT EVALUATION AND RESULTS: THE REPORTED DEVICE WAS NOT RETURNED HOWEVER PHOTOGRAPHS WERE PROVIDED FOR REVIEW. THE PHOTOGRAPHS NOTE THE FOLLOWING:THE PICTURE DISPLAYED A USED SIMPLEX AMPOULE WITH THE OPENED CAP BY THE SIDE. THE EDGE OF THE OPENING AREA APPEARS TO BE SMOOTH WITH NOTHING REMARKABLE TO REPORT. MEDICAL RECORDS RECEIVED AND EVALUATION: NO MEDICAL RECORDS WERE RECEIVED FOR REVIEW WITH A CLINICAL CONSULTANT. PRODUCT HISTORY REVIEW: A REVIEW OF THE DEVICE MANUFACTURING RECORDS INDICATE THAT ALL DEVICES ACCEPTED INTO FINAL STOCK WERE FREE FROM DISCREPANCIES. COMPLAINT HISTORY REVIEW: THERE HAVE BEEN NO OTHER SIMILAR EVENTS FOR THE LOT REFERENCED. CONCLUSIONS: THE PHOTOGRAPHS NOTE THE FOLLOWING:THE PICTURE DISPLAYED A USED SIMPLEX AMPOULE WITH THE OPENED CAP BY THE SIDE. THE EDGE OF THE OPENING AREA APPEARS TO BE SMOOTH WITH NOTHING REMARKABLE TO REPORT. THE REPORTED EVENT COULD NOT BE CONFIRMED AND THE EXACT CAUSE OF THE EVENT COULD NOT BE DETERMINED BECAUSE INSUFFICIENT INFORMATION WAS PROVIDED. IF DEVICES AND / OR ADDITIONAL INFORMATION BECOME AVAILABLE TO INDICATE FURTHER EVALUATION IS WARRANTED, THIS RECORD WILL BE REOPENED.

Additional Manufacturer Narrative · 0

D3 LEGAL MANUFACTURER WAS SELECTED AS STANMORE IMPLANTS WORLDWIDE IN ERROR. THIS SUPPLEMENTAL IS BEING SENT TO CORRECT D3 TO STRYKER ORTHOPAEDICS-MAHWAH.

Description of Event or Problem · 0

AS MENTIONED, WE RECENTLY AWARE OF SEVERAL INCIDENTS ( I WITNESSED ONE AT TKOH TODAY AND PWH REPORTED A FEW INCIDENTS IN DEC) THAT OUR TOBRA CEMENT AMPULE BROKEN INTO SMALL PIECES WHEN THE SCRUB NURSES TRIED TO OPEN IT. TKOH DIDN¿T COMPLAIN BUT I HAVE ATTACHED THE CEMENT LOG FOR YOUR REFERENCE. PWH DIDN¿T KEEP THE CEMENT LABEL SO I COULDNT SEND TO YOU FOR CHECKING. UPDATE: "TYPE OF PROCEDURE BEING PERFORMED: TKOH - TKR TRIATHLON. THERE WAS A SURGICAL DELAY OF APPROX 2 MINUTES AS NEW PACK OF CEMENT NEEDED TO BE OPENED.

Description of Event or Problem · 0

AS MENTIONED, WE RECENTLY AWARE OF SEVERAL INCIDENTS ( I WITNESSED ONE AT TKOH TODAY AND PWH REPORTED A FEW INCIDENTS IN (B)(6)) THAT OUR TOBRA CEMENT AMPULE BROKEN INTO SMALL PIECES WHEN THE SCRUB NURSES TRIED TO OPEN IT. TKOH DIDN¿T COMPLAIN BUT I HAVE ATTACHED THE CEMENT LOG FOR YOUR REFERENCE. PWH DIDN¿T KEEP THE CEMENT LABEL SO I COULDNT SEND TO YOU FOR CHECKING. UPDATE: "TYPE OF PROCEDURE BEING PERFORMED: TKOH - TKR TRIATHLON. THERE WAS A SURGICAL DELAY OF APPROX 2 MINUTES AS NEW PACK OF CEMENT NEEDED TO BE OPENED.

Additional Manufacturer Narrative · 1

REVIEW OF THE DEVICE HISTORY RECORDS INDICATE DEVICES WERE MANUFACTURED AND ACCEPTED INTO FINAL STOCK WITH NO RELEVANT REPORTED DISCREPANCIES. THERE HAVE BEEN NO OTHER SIMILAR EVENTS FOR THE LOT REFERENCED. IT WAS NOTED THAT THE DEVICE IS NOT AVAILABLE FOR EVALUATION. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, IT WILL BE PROVIDED IN A SUPPLEMENTAL REPORT UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem · 1

AS MENTIONED, WE RECENTLY AWARE OF SEVERAL INCIDENTS ( I WITNESSED ONE AT TKOH TODAY AND PWH REPORTED A FEW INCIDENTS IN DEC) THAT OUR TOBRA CEMENT AMPULE BROKEN INTO SMALL PIECES WHEN THE SCRUB NURSES TRIED TO OPEN IT. TKOH DIDN¿T COMPLAIN BUT I HAVE ATTACHED THE CEMENT LOG FOR YOUR REFERENCE. PWH DIDN¿T KEEP THE CEMENT LABEL SO I COULDNT SEND TO YOU FOR CHECKING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
126660 SIMPLEX TOBRAMYCIN 1 PK BONE CEMENT LOD STRYKER ORTHOPAEDICS-MAHWAH TDA022

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other