ION NITRIDED BLADE 0940023000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2016-03-10 for ION NITRIDED BLADE 0940023000 manufactured by Stryker Instruments-kalamazoo.

Event Text Entries

[40067669] A follow up report will be filed once the quality investigation is complete. Device not returned to manufacturer for evaluation.
Patient Sequence No: 1, Text Type: N, H10


[40067670] It was reported that when the nurse was removing the cast on the forearm, the patient received 2 cuts that were 1. 5cms to 2. 0cms long and started to bleed. It was also reported that the wounds were put together and the patient received wound dressings. It was further reported that there was no infection as a result of this event and no additional treatment is expected.
Patient Sequence No: 1, Text Type: D, B5


[48040093] The cast cutter blade and the concomitant cast cutter ((b)(4)) reported involved with this event were returned for evaluation. Measurements performed on the returned blade against part print specification indicated that the blade met all measurements performed. Investigation results for both the cast cutter and the blade indicate the reported failure could not be confirmed. The definitive root cause could not be determined.
Patient Sequence No: 1, Text Type: N, H10


[48040094] It was reported that when the nurse was removing the cast on the forearm, the patient received 2 cuts that were 1. 5cms to 2. 0cms long and started to bleed. It was also reported that the wounds were put together and the patient received wound dressings. It was further reported that there was no infection as a result of this event and no additional treatment is expected.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001811755-2016-00282
MDR Report Key5492356
Report SourceHEALTH PROFESSIONAL
Date Received2016-03-10
Date of Report2016-02-11
Date of Event2016-01-21
Date Mfgr Received2016-05-24
Date Added to Maude2016-03-10
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-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 NameION NITRIDED BLADE
Generic NameINSTRUMENT, CAST REMOVAL, AC-POWERED
Product CodeLGH
Date Received2016-03-10
Returned To Mfg2016-03-15
Catalog Number0940023000
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 2016-03-10

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