SAGITTAL BLADE-STERNUM REVISION 2108137000

MAUDE Adverse Event Report

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.

Event Text Entries

[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


MAUDE Entry Details

Report Number0001811755-2015-03843
MDR Report Key5159508
Report SourceOTHER
Date Received2015-10-19
Date of Report2015-09-23
Date of Event2015-09-23
Date Mfgr Received2015-11-30
Date Added to Maude2015-10-19
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 FDA3
Event Location3
Manufacturer ContactMR. DERVILLIA MURPHY
Manufacturer StreetINSTRUMENTS DIVISION CARRIGTWOHILL BUS. & TECH PARK
Manufacturer CityCARRIGTWOHILL NA
Manufacturer PostalNA
Manufacturer Phone214532900
Manufacturer G1STRYKER INSTRUMENTS-KALAMAZOO
Manufacturer Street4100 EAST MILHAM AVENUE CARRIGTWOHILL BUS. & TECH PARK
Manufacturer CityKALAMAZOO MI 49001
Manufacturer CountryUS
Manufacturer Postal Code49001
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSAGITTAL BLADE-STERNUM REVISION
Generic NameBLADE, SAW, SURGICAL, CARDIOVASCULAR
Product CodeDWH
Date Received2015-10-19
Catalog Number2108137000
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER INSTRUMENTS-KALAMAZOO
Manufacturer Address4100 EAST MILHAM AVENUE KALAMAZOO MI 49001 US 49001


Patients

Patient NumberTreatmentOutcomeDate
10 2015-10-19

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