MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2019-04-12 for PEEK CUSTOMIZED CRANIAL IMPLANT KIT, L 78-10030 manufactured by Stryker Leibinger Freiburg.
[141788303]
The device is not available for evaluation as it was discarded by the facility at their location. If additional information is received it will be reported in a supplemental report. The product was discarded by the facility at their location.
Patient Sequence No: 1, Text Type: N, H10
[141788304]
It was reported by the company representative that after implanting a peek implant, the patient acquired an infection and the device was removed. The facility discarded the flap in the operating room and revision surgery is planned.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 0008010177-2019-00015 |
| MDR Report Key | 8509980 |
| Report Source | COMPANY REPRESENTATIVE |
| Date Received | 2019-04-12 |
| Date of Report | 2019-05-22 |
| Date of Event | 2019-03-12 |
| Date Mfgr Received | 2019-03-12 |
| Date Added to Maude | 2019-04-12 |
| 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. ELKIA ARENS |
| Manufacturer Street | BOETZINGERSTR. 41 |
| Manufacturer City | FREIBURG D-79111 |
| Manufacturer Postal | D-79111 |
| Manufacturer Phone | 76145120 |
| Manufacturer G1 | STRYKER LEIBINGER FREIBURG |
| Manufacturer Street | BOETZINGERSTR. 41 |
| Manufacturer City | FREIBURG D-79111 |
| Manufacturer Postal Code | D-79111 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PEEK CUSTOMIZED CRANIAL IMPLANT KIT, L |
| Generic Name | IMPLANT |
| Product Code | GWO |
| Date Received | 2019-04-12 |
| Catalog Number | 78-10030 |
| Lot Number | 1808081002 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| 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 | 2019-04-12 |