PIONEER SURGICAL RELEASE LAMINOPLASTY FIXATION SYSTEM, STEAM STERILIZATION CASE 434-222 SAME

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-10-18 for PIONEER SURGICAL RELEASE LAMINOPLASTY FIXATION SYSTEM, STEAM STERILIZATION CASE 434-222 SAME manufactured by Pioneer Surgical Technology (d.b.a.rti Surgical).

Event Text Entries

[57931210] The steam sterilization case was returned to pioneer surgical technology and the latches that hold the case lid in place were very difficult to open and close. The dhr was reviewed and this case was made to pioneer surgical technologies specifications. There have been no reported injuries caused by this steam sterilization case but since there is a remote potential that by opening the lid the user may tear their glove and/or hand pioneer surgical technology is reporting this occurrence.
Patient Sequence No: 1, Text Type: N, H10


[57931211] During a lab demonstration it was observed by a rti surgical associate product manager that the lid on the steam sterilization kit was difficult to remove and has a potential of ripping a glove if it was used in a clinical setting.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1833824-2016-00035
MDR Report Key6037685
Date Received2016-10-18
Date of Report2016-10-18
Date of Event2016-09-19
Date Mfgr Received2016-09-19
Device Manufacturer Date2015-06-19
Date Added to Maude2016-10-18
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. DAN NELSON
Manufacturer Street375 RIVER PARK CIRCLE
Manufacturer CityMARQUETTE MI 49855
Manufacturer CountryUS
Manufacturer Postal49855
Manufacturer Phone9062264489
Manufacturer G1PIONEER SURGICAL TECHNOLOGY (D.B.A. RTI SURGICAL)
Manufacturer Street375 RIVER PARK CIRCLE
Manufacturer CityMARQUETTE MI 49855
Manufacturer CountryUS
Manufacturer Postal Code49855
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NamePIONEER SURGICAL RELEASE LAMINOPLASTY FIXATION SYSTEM, STEAM STERILIZATION CASE
Generic NameSTEAM STERILIZATION CASE
Product CodeLRP
Date Received2016-10-18
Returned To Mfg2016-09-29
Model Number434-222
Catalog NumberSAME
Lot Number47140
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerPIONEER SURGICAL TECHNOLOGY (D.B.A.RTI SURGICAL)
Manufacturer Address375 RIVER PARK CIRCLE MARQUETTE MI 49855 US 49855


Patients

Patient NumberTreatmentOutcomeDate
10 2016-10-18

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