MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2015-10-19 for SAGITTAL BLADE-STERNUM REVISION 2108137000 manufactured by Stryker Instruments-kalamazoo.
[28608386]
A follow up report will be filed once the quality investigation is complete. Device is not available for evaluation
Patient Sequence No: 1, Text Type: N, H10
[28608387]
It was reported that during a surgical procedure, the blade broke at the mount. It was further reported there was a delay of less than 30 minutes to obtain a replacement blade as a result of this event. It was also reported that there were no adverse consequences and the procedure was completed successfully.
Patient Sequence No: 1, Text Type: D, B5
[32744885]
The quality investigation is complete.
Patient Sequence No: 1, Text Type: N, H10
[32744886]
It was reported that during a surgical procedure, the blade broke at the mount. It was further reported there was a delay of less than 30 minutes to obtain a replacement blade as a result of this event. It was also reported that there were no adverse consequences and the procedure was completed successfully.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 0001811755-2015-03843 |
MDR Report Key | 5159508 |
Report Source | OTHER |
Date Received | 2015-10-19 |
Date of Report | 2015-09-23 |
Date of Event | 2015-09-23 |
Date Mfgr Received | 2015-11-30 |
Date Added to Maude | 2015-10-19 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | MR. DERVILLIA MURPHY |
Manufacturer Street | INSTRUMENTS DIVISION CARRIGTWOHILL BUS. & TECH PARK |
Manufacturer City | CARRIGTWOHILL NA |
Manufacturer Postal | NA |
Manufacturer Phone | 214532900 |
Manufacturer G1 | STRYKER INSTRUMENTS-KALAMAZOO |
Manufacturer Street | 4100 EAST MILHAM AVENUE CARRIGTWOHILL BUS. & TECH PARK |
Manufacturer City | KALAMAZOO MI 49001 |
Manufacturer Country | US |
Manufacturer Postal Code | 49001 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | SAGITTAL BLADE-STERNUM REVISION |
Generic Name | BLADE, SAW, SURGICAL, CARDIOVASCULAR |
Product Code | DWH |
Date Received | 2015-10-19 |
Catalog Number | 2108137000 |
Lot Number | UNKNOWN |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | STRYKER INSTRUMENTS-KALAMAZOO |
Manufacturer Address | 4100 EAST MILHAM AVENUE KALAMAZOO MI 49001 US 49001 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2015-10-19 |