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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP POINTER, STRAIGHT; NEUROLOGICAL STEREOTAXIC INSTRUMENT

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP POINTER, STRAIGHT; NEUROLOGICAL STEREOTAXIC INSTRUMENT Back to Search Results
Catalog Number 6007-011-000
Device Problems Fracture (1260); Detachment of Device or Device Component (2907)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 09/14/2023
Event Type  malfunction  
Event Description
Per the customer, the trigger part of the pointer came off before cleaning.The screw that held the trigger in place is also unknown.The procedure was completed successfully without a surgical delay; no medical intervention or adverse consequences were reported.
 
Event Description
Per the customer, the trigger part of the pointer came off before cleaning.The screw that held the trigger in place is also unknown.The procedure was completed successfully without a surgical delay; no medical intervention or adverse consequences were reported.
 
Manufacturer Narrative
Device evaluation: follow-up report submitted to document the device evaluation.
 
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Brand Name
POINTER, STRAIGHT
Type of Device
NEUROLOGICAL STEREOTAXIC INSTRUMENT
Manufacturer (Section D)
STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP
1941 stryker way
portage MI 49002
Manufacturer (Section G)
STRYKER INSTRUMENTS-FREIBURG
boetzingerstr. 41
freiburg D-791 11
GM   D-79111
Manufacturer Contact
colette chung
1941 stryker way
portage, MI 49002
2693237700
MDR Report Key17875267
MDR Text Key324964019
Report Number3015967359-2023-02068
Device Sequence Number1
Product Code HAW
UDI-Device Identifier04546540392114
UDI-Public04546540392114
Combination Product (y/n)N
Reporter Country CodeJA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Distributor
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 12/22/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/05/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Catalogue Number6007-011-000
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Date Manufacturer Received12/18/2023
Was Device Evaluated by Manufacturer? Yes
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 Age90 YR
Patient SexFemale
Patient Weight50 KG
Patient EthnicityNon Hispanic
Patient RaceAsian
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