L. MED AGGR BLADE (31MMX9MM)S 2296003225

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2020-03-19 for L. MED AGGR BLADE (31MMX9MM)S 2296003225 manufactured by Stryker Instruments-kalamazoo.

Event Text Entries

[184455893] A follow up report will be filed once the quality investigation is complete.
Patient Sequence No: 1, Text Type: N, H10


[184455894] It was reported that during an osteotomy surgery, the blade broke at the mount. It was also reported there were no delays and no adverse consequences as a result of this event. It was further reported that the procedure was completed successfully.
Patient Sequence No: 1, Text Type: D, B5


[188145461] The reported product involved with this event was returned for evaluation and the reported failure of blade breakage was confirmed. The bend / twist present in the blade suggests that it was subjected to an excessive bending force or torque. This bending force / torque is the most likely cause of the mount break. The shock loading caused by metal contact could have also contributed to the blade failure. The bending forces could have occurred by pushing the headpiece forward, pulling it backwards or twisting the headpiece while the end of the blade was engaged or held. The instruction for use (ifu) for the handpieces associated for use with this blade contain the following indication for use "when used with a variety of cutting accessories, the remb electric sagittal saw is intended for surgical procedures involving the cutting of bone and hard tissue. " the ifu's also contain the following warning; "do not apply excessive pressure, such as bending or prying, with the blade. Excessive pressure may bend or fracture the blade and cause tissue damage and/or loss of tactile control. "
Patient Sequence No: 1, Text Type: N, H10


[188145462] It was reported that during an osteotomy surgery, the blade broke at the mount. It was also reported there were no delays and no adverse consequences as a result of this event. It was further reported that the procedure was completed successfully.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001811755-2020-00714
MDR Report Key9855820
Report SourceDISTRIBUTOR
Date Received2020-03-19
Date of Report2020-03-19
Date of Event2020-02-20
Date Mfgr Received2020-02-20
Date Added to Maude2020-03-19
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 NameL. MED AGGR BLADE (31MMX9MM)S
Generic NameBLADE, SAW, GENERAL & PLASTIC SURGERY,SURGICAL
Product CodeGFA
Date Received2020-03-19
Returned To Mfg2020-03-03
Model Number2296003225
Catalog Number2296003225
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER INSTRUMENTS-KALAMAZOO
Manufacturer Address4100 EAST MILHAM AVENUE KALAMAZOO MI 49001 US 49001


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-19

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