UNKNOWN_CMF_PRODUCT UNK_CMF

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 2017-03-17 for UNKNOWN_CMF_PRODUCT UNK_CMF manufactured by Stryker Orthopaedics-limerick.

Event Text Entries

[70252338] Device is not available for evaluation. If additional information is received it will be reported on a supplemental report. Cement remains in the patient.
Patient Sequence No: 1, Text Type: N, H10


[70252339] It was reported by a physician that a patient was showing symptoms of inflammation of the eyes at a post operative follow up appointment.
Patient Sequence No: 1, Text Type: D, B5


[110484897] According to the information received from the customer ((b)(6) 2017) the complained hydroset was not related to the reported event. It was stated that the reported event of swollen eyes was caused by a reaction to the anti-hematoma ointment. Therefore this pi is considered as inquiry and closed as phase 1.
Patient Sequence No: 1, Text Type: N, H10


[110484898] It was reported by a physician that a patient was showing symptoms of inflammation of the eyes at a post operative follow up appointment.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0008010177-2017-00054
MDR Report Key6414586
Report SourceHEALTH PROFESSIONAL
Date Received2017-03-17
Date of Report2017-06-27
Date of Event2017-01-15
Date Mfgr Received2017-03-01
Date Added to Maude2017-03-17
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 ORTHOPAEDICS-LIMERICK
Manufacturer StreetRAHEEN BUSINESS PARK
Manufacturer CityLIMERICK NA
Manufacturer Postal CodeNA
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN_CMF_PRODUCT
Generic NameHA CEMENT
Product CodeGXP
Date Received2017-03-17
Catalog NumberUNK_CMF
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER ORTHOPAEDICS-LIMERICK
Manufacturer AddressRAHEEN BUSINESS PARK LIMERICK NA NA


Patients

Patient NumberTreatmentOutcomeDate
10 2017-03-17

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