PRECISION THIN (12.0 X 0.38 X 34.5MM) 2296003206

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2020-03-02 for PRECISION THIN (12.0 X 0.38 X 34.5MM) 2296003206 manufactured by Stryker Instruments-kalamazoo.

Event Text Entries

[182023032] A follow up report will be filed once the quality investigation is complete. Awaiting device return.
Patient Sequence No: 1, Text Type: N, H10


[182023033] It was reported that during a tibial transfer procedure, two blades broke. It was also reported that an x-ray was performed to confirm there were no fragments remaining in the patient. It was also reported that there were no adverse consequences and no delays as a result of this event. It was further reported that the procedure was completed successfully. This report is for the second blade that broke.
Patient Sequence No: 1, Text Type: D, B5


[188593646] The quality investigation is complete.
Patient Sequence No: 1, Text Type: N, H10


[188593647] It was reported that during a tibial transfer procedure, two blades broke. It was also reported that an x-ray was performed to confirm there were no fragments remaining in the patient. It was also reported that there were no adverse consequences and no delays as a result of this event. It was further reported that the procedure was completed successfully. This report is for the second blade that broke.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001811755-2020-00582
MDR Report Key9774225
Report SourceHEALTH PROFESSIONAL
Date Received2020-03-02
Date of Report2020-03-02
Date of Event2020-02-03
Date Mfgr Received2020-02-03
Device Manufacturer Date2019-09-29
Date Added to Maude2020-03-02
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 CountryIE
Manufacturer PostalNA
Manufacturer Phone214532900
Manufacturer G1STRYKER INSTRUMENTS-IRELAND
Manufacturer StreetINSTRUMENTS DIVISION CARRIGTWOHILL BUS. & TECH PARK
Manufacturer CityCARRIGTWOHILL NA
Manufacturer CountryIE
Manufacturer Postal CodeNA
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePRECISION THIN (12.0 X 0.38 X 34.5MM)
Generic NameBLADE, SAW, GENERAL & PLASTIC SURGERY,SURGICAL
Product CodeGFA
Date Received2020-03-02
Model Number2296003206
Catalog Number2296003206
Lot Number19272017
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
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 2020-03-02

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