STRYKER 700151

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-30 for STRYKER 700151 manufactured by Stryker.

Event Text Entries

[109761900] Small tip of pick broke off in pt during procedure.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5077543
MDR Report Key7556537
Date Received2018-05-30
Date of Report2018-05-25
Date of Event2018-05-22
Date Added to Maude2018-05-31
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
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 NameDENTAL PICK
Product CodeJEW
Date Received2018-05-30
Model Number700151
Lot NumberX00272
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER


Patients

Patient NumberTreatmentOutcomeDate
10 2018-05-30

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