STERNUM BLADE 0298097100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,07 report with the FDA on 2012-06-28 for STERNUM BLADE 0298097100 manufactured by Stryker Ireland, Ltd..

Event Text Entries

[2873479] Our sales rep uwe brill reported that during a surgery procedure a piece of the blade was broken off after the sternum blade guard was bent. The piece was fully removed from the pt. Because of this there was a delay of 30 mins. , a replacement was available and the surgery was successfully completed at the end.
Patient Sequence No: 1, Text Type: D, B5


[9997512] The blade subject to this investigation was returned to the mfr for eval, it was visually confirmed the blade was broken along the shaft. The returned blade was measured where possible and all critical specifications were met. Lot number info has not been provided to permit further investigation. Investigation results indicate that the blade guard first became distorted due to prying which in turn put excessive pressure on the blade, which may have potentially caused the blade to break, however, this cannot be confirmed. The root cause is undetermined.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9616696-2012-00182
MDR Report Key2646066
Report Source01,07
Date Received2012-06-28
Date of Report2012-06-05
Date of Event2012-06-04
Date Mfgr Received2012-06-05
Date Added to Maude2012-10-17
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 ContactUNA BARRY
Manufacturer StreetCARRIGTWOHILL BUSINESS & TECHNOLOGY PARK
Manufacturer CityCARRIGTWOHILL, CORK
Manufacturer CountryEI
Manufacturer Phone214532963
Manufacturer G1STRYKER IRELAND, LTD.
Manufacturer StreetCARRIGTWOHILL BUSINESS & TECHNOLOGY PARK
Manufacturer CityCARRIGTWOHILL, CORK
Manufacturer CountryEI
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSTERNUM BLADE
Product CodeDWH
Date Received2012-06-28
Returned To Mfg2012-06-15
Catalog Number0298097100
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER IRELAND, LTD.
Manufacturer AddressCARRIGTWOHILL, CORK EI


Patients

Patient NumberTreatmentOutcomeDate
10 2012-06-28

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