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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH SPEEDSET-US FULL DOSE 10 PK; BONE CEMENT, ANTIBIOTIC

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STRYKER ORTHOPAEDICS-MAHWAH SPEEDSET-US FULL DOSE 10 PK; BONE CEMENT, ANTIBIOTIC Back to Search Results
Catalog Number 61921010
Device Problems Device Packaging Compromised (2916); Manufacturing, Packaging or Shipping Problem (2975)
Patient Problem No Patient Involvement (2645)
Event Date 08/09/2016
Event Type  malfunction  
Manufacturer Narrative
Additional information has been requested.Should additional information become available it will be reported in a supplemental report upon completion of the investigation.
 
Event Description
Shipped to facility and the outer box was damaged.Inside of box was damaged also.As per initial reporter on (b)(6) 2016: the ampoules were smashed, you could hear broken glass sliding around.
 
Manufacturer Narrative
An event regarding packaging damage involving simplex bone cement was reported.The event was confirmed based on the photograph provided.Method & results: device evaluation and results: no product was returned for evaluation however a photograph was provided which shows extensive damage to the sides of the shipper box and the 10-pack of bone cement within.The shipper box appears to have been crushed in transit.Medical records received and evaluation: not performed as there was no patient involvement.Device history review: review of the batch manufacturing record indicates that this batch was manufactured and shipped to stock with no reported discrepancies.Complaint history review: review determined that there were no other similar reported events for the lot.Conclusions: no product was returned for evaluation however a photograph was provided which shows extensive damage to the sides of the shipper box and the 10-pack of bone cement within.The shipper box appears to have been crushed in transit.A capa trend analysis was conducted for the reported failure mode and concluded simplex packaging damage may result from other factors not necessarily related to the product.No further investigation is possible at this time as no product and insufficient information was received by stryker orthopaedics.If additional information becomes available this investigation will be reopened.
 
Event Description
Shipped to facility and the outer box was damaged.Inside of box was damaged also.As per initial reporter on 8/25/2016: the ampoules were smashed, you could hear broken glass sliding around.
 
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Brand Name
SPEEDSET-US FULL DOSE 10 PK
Type of Device
BONE CEMENT, ANTIBIOTIC
Manufacturer (Section D)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer (Section G)
STRYKER ORTHOPAEDICS-LIMERICK
raheen business park
limerick NA
Manufacturer Contact
keyla colon
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key5929809
MDR Text Key54484431
Report Number0002249697-2016-02855
Device Sequence Number1
Product Code MBB
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K063857
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,other
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 08/09/2016
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received09/06/2016
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date01/31/2018
Device Catalogue Number61921010
Device Lot NumberDDX007
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Date Manufacturer Received10/11/2016
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured04/12/2016
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Other;
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