RTF-PLIF 12MM VERTEBRAL DRILL 82412

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00,01,07 report with the FDA on 2010-03-18 for RTF-PLIF 12MM VERTEBRAL DRILL 82412 manufactured by Stryker Spine Bordeaux.

Event Text Entries

[17019821] It was reported that during plif (l5-s1) surgery for stenosis, the surgeon was drilling the vertebral disc and the drill (cat #82412) went too far anteriorly, as a result, the pt had retroperitoneal bleeding. The retractor could not be used since it was too balky for the pt. The pt is now monitored in icu. The surgeon used to use the older version of the tfc vertebral cutter (cat # unk, but manufactured by (b) (4)); however, it fractured in some other surgery recently thus, it was no longer able to be used thus, he used this newer version of drill (cat #82412) for the first time.
Patient Sequence No: 1, Text Type: D, B5


[17315451] Additional information has been requested and if made available will be reported in a supplemental.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9617544-2010-00132
MDR Report Key1637376
Report Source00,01,07
Date Received2010-03-18
Date of Report2010-03-05
Date of Event2010-03-05
Date Mfgr Received2010-03-05
Date Added to Maude2010-03-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactKRITHIKA VELUCHAMY
Manufacturer Street2 PEARL COURT
Manufacturer CityALLENDALE NJ 07401
Manufacturer CountryUS
Manufacturer Postal07401
Manufacturer Phone2017608180
Manufacturer G1STRYKER SPINE BORDEAUX
Manufacturer StreetZONE INDUSTRIELLE DE MARTICOT
Manufacturer CityCESTAS 33610
Manufacturer CountryFR
Manufacturer Postal Code33610
Single Use3
Remedial ActionOT
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameRTF-PLIF 12MM VERTEBRAL DRILL
Generic NameINSTRUMENT
Product CodeLXI
Date Received2010-03-18
Model NumberNA
Catalog Number82412
Lot NumberUNK
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER SPINE BORDEAUX
Manufacturer AddressCESTAS 33610 FR 33610


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other 2010-03-18

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