NASOPORE STANDARD 8CM, 8/PK 5400010008

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2018-06-20 for NASOPORE STANDARD 8CM, 8/PK 5400010008 manufactured by Stryker Instruments-kalamazoo.

Event Text Entries

[111652969] The device is available for return. A follow up report will be filed once the quality investigation is complete.
Patient Sequence No: 1, Text Type: N, H10


[111652970] It was reported during a surgical procedure, that there was a potential sterility breach on the packaging. It was also reported that there was no delay as a result of this event. It was further reported that there were no adverse consequences and the procedure was completed successfully.
Patient Sequence No: 1, Text Type: D, B5


[116788279] The product and packaging was not returned for evaluation. The reported event, for packaging issue, was not confirmed as the product and packaging was not returned for evaluation. Without the product and packaging, the root cause cannot be determined. Device not available for return, no further information available.
Patient Sequence No: 1, Text Type: N, H10


[116788280] It was reported during a surgical procedure, that there was a potential sterility breach on the packaging. It was also reported that there was no delay as a result of this event. It was further reported that there were no adverse consequences and the procedure was completed successfully.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001811755-2018-01082
MDR Report Key7619035
Report SourceUSER FACILITY
Date Received2018-06-20
Date of Report2018-08-09
Date of Event2018-05-24
Date Mfgr Received2018-08-09
Date Added to Maude2018-06-20
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 ContactMRS. UNA BARRY
Manufacturer StreetINSTRUMENTS DIVISION CARRIGTWOHILL BUS. & TECH PARK
Manufacturer CityCARRIGTWOHILL NA
Manufacturer PostalNA
Manufacturer Phone214532900
Manufacturer G1STRYKER INSTRUMENTS-IRELAND
Manufacturer StreetINSTRUMENTS DIVISION CARRIGTWOHILL BUS. & TECH PARK
Manufacturer CityCARRIGTWOHILL NA
Manufacturer Postal CodeNA
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNASOPORE STANDARD 8CM, 8/PK
Generic NameSPLINT, INTRANASAL SEPTAL
Product CodeLYA
Date Received2018-06-20
Catalog Number5400010008
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER INSTRUMENTS-KALAMAZOO
Manufacturer Address4100 EAST MILHAM AVENUE KALAMAZOO MI 49001 US 49001


Patients

Patient NumberTreatmentOutcomeDate
10 2018-06-20

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