Brand Name | TPS MICRO DRIVER |
Type of Device | DRIVER, WIRE, AND BONE DRILL, MANUAL |
Manufacturer (Section D) |
STRYKER INSTRUMENTS-KALAMAZOO |
4100 east milham avenue |
kalamazoo MI 49001 |
|
Manufacturer (Section G) |
STRYKER INSTRUMENTS-KALAMAZOO |
4100 east milham avenue |
|
kalamazoo MI 49001 |
|
Manufacturer Contact |
casey
metzger
|
4100 east milham avenue |
kalamazoo, MI 49001
|
2693237700
|
|
MDR Report Key | 6614310 |
MDR Text Key | 76741786 |
Report Number | 0001811755-2017-01290 |
Device Sequence Number | 1 |
Product Code |
DZJ
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K032303 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
06/06/2017 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 06/06/2017 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Other
|
Device Catalogue Number | 5100088000 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 05/05/2017 |
Date Manufacturer Received | 05/12/2017 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 02/10/2000 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
|
|