STERNUM BLADE 0298097100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2014-06-30 for STERNUM BLADE 0298097100 manufactured by Stryker Instruments-kalamazoo.

Event Text Entries

[4980742] It was reported that the blade broke during a procedure. It was further reported that there was a 5 minute delay as a result. An x-ray was taken to ensure no piece was left behind. There was no patient impact or adverse consequences reported as a result of this event.
Patient Sequence No: 1, Text Type: D, B5


[12546201] The device was returned for evaluation. The quality investigation is complete.
Patient Sequence No: 1, Text Type: N, H10


[15182446] It was reported that the blade broke during a procedure. It was further reported that there was a 5 minute delay as a result. An x-ray was taken to ensure no piece was left behind. There was no patient impact or adverse consequences reported as a result of this event.
Patient Sequence No: 1, Text Type: D, B5


[15548073] The device is available for return. A follow up report will be filed once the quality investigation is complete. Device not yet returned to manufacturer.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number0001811755-2014-02315
MDR Report Key3902009
Report Source06
Date Received2014-06-30
Date of Report2014-06-09
Date of Event2014-06-09
Date Mfgr Received2014-10-10
Date Added to Maude2014-06-30
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 Received2014-06-30
Returned To Mfg2014-07-21
Catalog Number0298097100
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER INSTRUMENTS-KALAMAZOO
Manufacturer Address4100 EAST MILHAM AVENUE KALAMAZOO MI 49001 US 49001


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-06-30

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