TITANIUM NITRIDED BLADE 0940035000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,user facility report with the FDA on 2015-07-21 for TITANIUM NITRIDED BLADE 0940035000 manufactured by Stryker Instruments-kalamazoo.

Event Text Entries

[6032281] It was reported that the blade went dull after removing 3 casts. It was also reported that when trying to remove the fourth cast, it was noted that the teeth on the blade were worn down. It was also reported there were no adverse consequences as a result of this event, the procedure was completed successfully without delay.
Patient Sequence No: 1, Text Type: D, B5


[14033379] 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


[37061317] A dhr (device history record) review of the manufacturing data during the manufacture of this blade indicated that the blade met all manufacturing specifications. Measurements performed on the returned blade against part print specification indicated that the blade met all measurements performed.
Patient Sequence No: 1, Text Type: N, H10


[37061318] It was reported that the blade went dull after removing 3 casts. It was also reported that when trying to remove the fourth cast, it was noted that the teeth on the blade were worn down. It was also reported there were no adverse consequences as a result of this event, the procedure was completed successfully without delay.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001811755-2015-02631
MDR Report Key4927109
Report Source06,USER FACILITY
Date Received2015-07-21
Date of Report2015-06-24
Date of Event2015-06-24
Date Mfgr Received2016-01-21
Device Manufacturer Date2015-05-20
Date Added to Maude2015-07-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
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 NameTITANIUM NITRIDED BLADE
Generic NameINSTRUMENT, CAST REMOVAL, AC-POWERED
Product CodeLGH
Date Received2015-07-21
Returned To Mfg2015-10-20
Catalog Number0940035000
Lot Number15140017
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
10 2015-07-21

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