MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2017-10-19 for UNKNOWN_FRO_PRODUCT UNK_FRO manufactured by Stryker Leibinger Freiburg.
[89698249]
Device is not available for evaluation. If additional information is received it will be reported on a supplemental report.
Patient Sequence No: 1, Text Type: N, H10
[89698250]
It was reported by a patient that he had experienced irritation and obstructed airflow from a medpor implant placed on the left side of his nose. The patient further stated that his nose is now obviously misshapen and asymmetric, and a revision surgery to remove the implant was performed.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 0008010177-2017-00261 |
| MDR Report Key | 6961070 |
| Report Source | CONSUMER |
| Date Received | 2017-10-19 |
| Date of Report | 2017-10-19 |
| Date of Event | 2016-05-01 |
| Date Mfgr Received | 2017-09-25 |
| Date Added to Maude | 2017-10-19 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. JONATHAN SCHELL |
| Manufacturer Street | BOETZINGERSTR. 41 |
| Manufacturer City | FREIBURG D-79111 |
| Manufacturer Postal | D-79111 |
| Manufacturer Phone | 76145120 |
| Manufacturer G1 | STRYKER ORTHOBIOLOGICS-MALVERN |
| Manufacturer Street | 45 GREAT VALLEY PARKWAY |
| Manufacturer City | MALVERN PA 19355 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 19355 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | UNKNOWN_FRO_PRODUCT |
| Generic Name | IMPLANT |
| Product Code | FWP |
| Date Received | 2017-10-19 |
| Catalog Number | UNK_FRO |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | STRYKER LEIBINGER FREIBURG |
| Manufacturer Address | BOETZINGERSTR. 41 FREIBURG D-79111 D-79111 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2017-10-19 |