MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,other report with the FDA on 2017-11-01 for SST EZ SPHERE - 22MM 80014 manufactured by Stryker Leibinger Freiburg.
[90754461]
The device is not available for evaluation. If additional information is received it will be reported on a supplemental report. Device is implanted in patient.
Patient Sequence No: 1, Text Type: N, H10
[90754462]
It was reported by hospital pharmacist through a company representative that a patient developed a possible post-surgical infection related to a major orbital inflammatory syndrome after a surgical procedure with an implant. The procedure had been completed successfully without a delay. It was reported the patient returned to the hospital and additional medical intervention was administered.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 0008010177-2017-00273 |
| MDR Report Key | 6992856 |
| Report Source | HEALTH PROFESSIONAL,OTHER |
| Date Received | 2017-11-01 |
| Date of Report | 2017-11-01 |
| Date of Event | 2017-05-16 |
| Date Mfgr Received | 2017-10-02 |
| Date Added to Maude | 2017-11-01 |
| 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 |
| Reporter Occupation | PHARMACIST |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. GREGORY GOHL |
| 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 | SST EZ SPHERE - 22MM |
| Generic Name | IMPLANT |
| Product Code | FWP |
| Date Received | 2017-11-01 |
| Catalog Number | 80014 |
| Lot Number | A1603061 |
| Operator | HEALTH PROFESSIONAL |
| 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 | 2017-11-01 |