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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH V40 COCR LFIT HEAD 36MM/+5; IMPLANT

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STRYKER ORTHOPAEDICS-MAHWAH V40 COCR LFIT HEAD 36MM/+5; IMPLANT Back to Search Results
Catalog Number 6260-9-236
Device Problem Difficult to Open or Close (2921)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 12/12/2014
Event Type  malfunction  
Event Description
It is reported by the nurse of the hospital, that the sterile packing of the head wasn´t easy to open, because the inside of the cap was bonding at the protectic cover of the head.During unpacking the wrapper was damaged.
 
Manufacturer Narrative
When completed, the evaluation summary will be submitted in a supplemental report.
 
Manufacturer Narrative
An event regarding the tyvek lid packaging being adhered to the inner foam packaging involving a v40 cocr lfit head 36mm/+5 was reported.The event was confirmed through photographs received from the event site.Method and results: device evaluation and results: not performed as the packaging material was not returned for evaluation.Photos of the packaging were provided and showed marks of the tyvek lid being adhered to the foam.Medical records received and evaluation: not performed as no medical records were provided as there was no patient involvement or associated procedure reported.Device history review: the reported device was manufactured and accepted into final stock with no reported discrepancies with the product or its packaging.Complaint history review: there have been no other similar events reported for this manufacturing lot.Conclusions: the investigation concluded that foam packaging being stuck to the inner blister tyvek lid of a triathlon ts baseplate was caused by a known packaging issue.The raised foam during the sealing operation allowed for excessive contact of the sealing tool with the inner lidstock and packaging foam resulting in sealing or melting of the lidstock to the foam.It is related to a void-filling approach to sterile product packaging.Packaging innovation is aware of this, and has issued a memo.Due to the infrequent nature of these complaints and the greater risk that would be presented by an undersized foam, these events will not be addressed through a design change.
 
Event Description
It is reported by the nurse of the hospital, that the sterile packing of the head wasn't easy to open, because the inside of the cap was bonding at the protective cover of the head.During unpacking the wrapper was damaged.
 
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Brand Name
V40 COCR LFIT HEAD 36MM/+5
Type of Device
IMPLANT
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
william hanna
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key4372384
MDR Text Key16885537
Report Number0002249697-2014-05052
Device Sequence Number1
Product Code JDI
Combination Product (y/n)N
Reporter Country CodeGM
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Health Professional
Reporter Occupation Nurse
Type of Report Initial,Followup
Report Date 12/12/2014
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/30/2014
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date05/31/2019
Device Catalogue Number6260-9-236
Device Lot NumberMNE8EV
Other Device ID NumberSTERILE LOT# MSHNJ02A
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/05/2015
Is the Reporter a Health Professional? Yes
Date Manufacturer Received05/18/2015
Was Device Evaluated by Manufacturer? No
Date Device Manufactured05/02/2014
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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