BARRIER RECTANGLE - 50MM X 76M 8312

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-12-29 for BARRIER RECTANGLE - 50MM X 76M 8312 manufactured by Stryker Leibinger Freiburg.

Event Text Entries

[63818124]
Patient Sequence No: 1, Text Type: N, H10


[63818125] It was reported that the physician stated the patient came in with inflammation and irritation around the eye where the product was implanted. No replacement was needed at the time and the product will not be returned. Also, it is unknown if the implant is the cause of the inflammation. It was additionally reported that the patient was diagnosed with a hematoma and was treated with antibiotics.
Patient Sequence No: 1, Text Type: D, B5


[63819278] Device is not available for evaluation. If additional information is received it will be reported on a supplemental report. Device remains implanted.
Patient Sequence No: 1, Text Type: N, H10


[63819279] It was reported that the physician stated the patient came in with inflammation and irritation around the eye where the product was implanted. No replacement was needed at the time and the product will not be returned. Also, it is unknown if the implant is the cause of the inflammation. No other information is available at this time.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0008010177-2016-00308
MDR Report Key6212310
Date Received2016-12-29
Date of Report2016-12-29
Date of Event2016-12-02
Date Mfgr Received2016-12-02
Date Added to Maude2016-12-29
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. HANS GEIGER
Manufacturer StreetBOETZINGERSTR. 41
Manufacturer CityFREIBURG D-79111
Manufacturer PostalD-79111
Manufacturer Phone76145120
Manufacturer G1STRYKER ORTHOBIOLOGICS-MALVERN
Manufacturer Street45 GREAT VALLEY PARKWAY
Manufacturer CityMALVERN PA 19355
Manufacturer CountryUS
Manufacturer Postal Code19355
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBARRIER RECTANGLE - 50MM X 76M
Generic NameIMPLANT
Product CodeFWP
Date Received2016-12-29
Catalog Number8312
Lot NumberG003755
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER LEIBINGER FREIBURG
Manufacturer AddressBOETZINGERSTR. 41 FREIBURG D-79111 D-79111


Patients

Patient NumberTreatmentOutcomeDate
10 2016-12-29

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