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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH SIZE 4-8 KEEL PUNCH GUIDE; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL

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STRYKER ORTHOPAEDICS-MAHWAH SIZE 4-8 KEEL PUNCH GUIDE; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL Back to Search Results
Catalog Number 6541-2-748
Device Problems Device Reprocessing Problem (1091); Crack (1135); Degraded (1153); Peeled/Delaminated (1454); Material Integrity Problem (2978)
Patient Problems No Patient Involvement (2645); No Known Impact Or Consequence To Patient (2692)
Event Date 06/16/2016
Event Type  malfunction  
Manufacturer Narrative
When completed, the investigation results will be submitted in a supplemental report.
 
Event Description
Rubber on handles and impactors are cracked and peeling.Hospital has concerns that containments were being trapped in cracks and not being cleaned well enough.
 
Manufacturer Narrative
An event regarding santoprene damage involving a size 4-8 keel punch guide was reported.The event was confirmed.A review of the device history records indicates that the reported devices were manufactured and accepted into final stock with no reported discrepancies.The complaint history review indicated that there were no similar events for the reported lot.The device was returned in used condition.The handles were discolored and degraded.Conclusion: visual inspection showed the device handle was discolored and degraded.The device was discovered during inspection; there was no surgical procedure associated with the reported event.This event meets the definition of preventive maintenance; no further investigation is required at this time.
 
Event Description
Rubber on handles and impactors are cracked and peeling.Hospital has concerns that containments were being trapped in cracks and not being cleaned well enough.
 
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Brand Name
SIZE 4-8 KEEL PUNCH GUIDE
Type of Device
PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL
Manufacturer (Section D)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer (Section G)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer Contact
keyla colon
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key5790220
MDR Text Key50176690
Report Number0002249697-2016-02290
Device Sequence Number1
Product Code JWH
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K143393
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 06/16/2016
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Catalogue Number6541-2-748
Device Lot NumberN3L14
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/27/2016
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 06/16/2016
Initial Date FDA Received07/13/2016
Supplement Dates Manufacturer ReceivedNot provided
Supplement Dates FDA Received09/14/2016
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured07/31/2008
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Outcome(s) Other;
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