STERNUM BLADE 0298097100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2014-01-15 for STERNUM BLADE 0298097100 manufactured by Stryker Instruments-ireland.

Event Text Entries

[4139877] It was reported that during a surgical procedure, the sternum blade and the sternum blade guard broke. It was also reported that the fragments were removed from the patient? S body. It was further reported that there was a ten minute surgical delay; x-rays were taken to ensure no fragments were left. It was further reported that the procedure was completed successfully using an alternative sagittal handpiece saw and a sagittal blade.
Patient Sequence No: 1, Text Type: D, B5


[4341345] It was reported that during a surgical procedure, the sternum blade and the sternum blade guard broke. It was also reported that the fragments were removed from the patient? S body. It was further reported that there was a ten minute surgical delay; x-rays were taken to ensure no fragments were left. It was further reported that the procedure was completed successfully using an alternative sagittal handpiece saw and a sagittal blade.
Patient Sequence No: 1, Text Type: D, B5


[11556353] The device evaluation is anticipated, but not yet begun. A follow up report will be filed once the quality investigation is complete.
Patient Sequence No: 1, Text Type: N, H10


[11638867] Device evaluation is complete.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number0001811755-2014-00148
MDR Report Key3575712
Report Source07
Date Received2014-01-15
Date of Report2013-12-17
Date of Event2013-12-16
Date Mfgr Received2014-03-04
Date Added to Maude2014-01-15
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 ContactMR. DERVILLIA MURPHY
Manufacturer StreetINSTRUMENTS DIVISION CARRIGTWOHILL BUS. & TECH PARK
Manufacturer CityCARRIGTWOHILL NA
Manufacturer PostalNA
Manufacturer Phone214532900
Manufacturer G1STRYKER INSTRUMENTS-IRELAND
Manufacturer StreetINSTRUMENTS DIVISION CARRIGTWOHILL BUS. & TECH PARK
Manufacturer CityCARRIGTWOHILL NA
Manufacturer Postal CodeNA
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSTERNUM BLADE
Generic NameBLADE, SAW, SURGICAL, CARDIOVASCULAR
Product CodeDWH
Date Received2014-01-15
Returned To Mfg2014-01-02
Catalog Number0298097100
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER INSTRUMENTS-IRELAND
Manufacturer AddressINSTRUMENTS DIVISION CARRIGTWOHILL BUS. & TECH PARK CARRIGTWOHILL MI 49001NA 49001 NA


Patients

Patient NumberTreatmentOutcomeDate
121070000001. Other 2014-01-15

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