PROXIMAL INTERPHALANGEAL IMPLANT, SIZE 3 SRPIP3

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-12-22 for PROXIMAL INTERPHALANGEAL IMPLANT, SIZE 3 SRPIP3 manufactured by Stryker Gmbh.

Event Text Entries

[34882997] (b)(4). Device will not be returned. If additional information becomes available it will be provided on a supplemental report. Device is not available to stryker.
Patient Sequence No: 1, Text Type: N, H10


[34882998] Residue found on implants prior to surgery - testing confirms particulate to be from foam insert. Foam insert manufacturer has identified and implemented process improvements to mitigate the foam particulate.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0008031020-2015-00600
MDR Report Key5319799
Date Received2015-12-22
Date of Report2013-06-24
Date of Event2013-06-24
Date Mfgr Received2013-06-24
Date Added to Maude2015-12-22
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. ROSE HAAS
Manufacturer Street325 CORPORATE DRIVE
Manufacturer CityMAHWAH NJ 07430
Manufacturer CountryUS
Manufacturer Postal07430
Manufacturer Phone2018315000
Manufacturer G1STRYKER GMBH
Manufacturer StreetBOHNACKERWEG 1 POSTFACH
Manufacturer CitySELZACH 2545
Manufacturer CountryCH
Manufacturer Postal Code2545
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NamePROXIMAL INTERPHALANGEAL IMPLANT, SIZE 3
Generic NameSEMI-CONSTRAINED METAL/POLYMER FINGER JOINT PROSTHESIS
Product CodeMPK
Date Received2015-12-22
Catalog NumberSRPIP3
Lot Number23421003
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER GMBH
Manufacturer AddressBOHNACKERWEG 1 POSTFACH SELZACH 2545 CH 2545


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-12-22

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