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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO STAINLESS STEEL BLADE; INSTRUMENT, CAST REMOVAL, AC-POWERED

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STRYKER INSTRUMENTS-KALAMAZOO STAINLESS STEEL BLADE; INSTRUMENT, CAST REMOVAL, AC-POWERED Back to Search Results
Catalog Number 0840040250
Device Problems Break (1069); Failure to Cut (2587)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 08/28/2014
Event Type  malfunction  
Event Description
It was reported that the blade broke after being used 10 times.There were no adverse consequences or surgical delay reported as a result of this event.
 
Event Description
It was reported initially reported that the blade broke after being used 10 times.It was subsequently reported that the blade was blunt.There were no adverse consequences or surgical delay reported as a result of this event.
 
Manufacturer Narrative
The device return has been requested.A follow up report will be filed once the quality investigation is complete.Device not yet made available for return.
 
Manufacturer Narrative
The cast cutter blade associated with this event was returned to the manufacturer for evaluation.It was visually confirmed there was no excessive wear on the teeth that all teeth were intact.Follow up information received confirmed that the cast cutter was being used to cut synthetic material.The ifu (instructions for use) for the cast cutter blade cautions the user that the stainless steel cast cutter blades are not recommended for use with synthetic material.The use of this cast cutter blade with synthetic material may have made the blade appear to be dull when in use with such cutting material.
 
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Brand Name
STAINLESS STEEL BLADE
Type of Device
INSTRUMENT, CAST REMOVAL, AC-POWERED
Manufacturer (Section D)
STRYKER INSTRUMENTS-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
Manufacturer (Section G)
STRYKER INSTRUMENTS-IRELAND
instruments division
carrigtwohill bus. & tech park
carrigtwohill NA
Manufacturer Contact
dervillia murphy
instruments division
carrigtwohill bus. & tech park
carrigtwohill NA
214532900
MDR Report Key4111802
MDR Text Key4703300
Report Number0001811755-2014-03342
Device Sequence Number1
Product Code LGH
Combination Product (y/n)N
Reporter Country CodeHK
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type User Facility
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 08/28/2014
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received09/23/2014
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number0840040250
Device Lot Number14168017
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer11/04/2014
Is the Reporter a Health Professional? No
Date Manufacturer Received04/02/2015
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured06/17/2014
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? Yes
Type of Device Usage Reuse
Patient Sequence Number1
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