STRYKER 5407-120-970C

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-10-13 for STRYKER 5407-120-970C manufactured by Stryker.

Event Text Entries

[89616365] Patient undergoing laminectomy when the drill attachment unexpectedly became hot and caused a burn to the skin adjacent to the lumbar incision.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5072752
MDR Report Key6950923
Date Received2017-10-13
Date of Report2017-10-11
Date of Event2017-10-06
Date Added to Maude2017-10-16
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameSTRYKER
Generic NameDRILLS, BURRS, TREPHINES AND ACCESSORIES
Product CodeHBG
Date Received2017-10-13
Returned To Mfg2017-10-11
Model Number5407-120-970C
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER
Manufacturer AddressUS


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-10-13

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