STRYKER LEFT IBO BLADE 5100-037-902

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-02-25 for STRYKER LEFT IBO BLADE 5100-037-902 manufactured by Stryker Sustainability Solutions.

Event Text Entries

[181528921] Tps tip stryker blade broke intraoperatively. The surgeon was informed and exploration of the missing piece was observed and found and retrieved in the patient? S soft tissue in the mouth. Fda safety report id # (b)(4). Fda received date: 02/21/2020.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5093281
MDR Report Key9753632
Date Received2020-02-25
Date of Report2020-02-21
Date of Event2019-12-24
Date Added to Maude2020-02-26
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 Report3

Device Details

Brand NameSTRYKER LEFT IBO BLADE
Generic NameBLADE, SAW, GENERAL AND PLASTIC SURGERY, SURGICAL
Product CodeGFA
Date Received2020-02-25
Model Number5100-037-902
Lot Number18213017
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER SUSTAINABILITY SOLUTIONS


Patients

Patient NumberTreatmentOutcomeDate
10 2020-02-25

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