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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH SIMPLEX P-JAPANESE TWIN PACK; BONE CEMENT

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STRYKER ORTHOPAEDICS-MAHWAH SIMPLEX P-JAPANESE TWIN PACK; BONE CEMENT Back to Search Results
Catalog Number 61910002
Device Problems Device Difficult to Setup or Prepare (1487); Insufficient Information (3190)
Patient Problems No Known Impact Or Consequence To Patient (2692); No Clinical Signs, Symptoms or Conditions (4582)
Event Date 06/30/2020
Event Type  malfunction  
Manufacturer Narrative
Review of the device history records indicate that devices were manufactured and accepted into final stock with no reported discrepancies.There have been no other events for the lot referenced.If additional information is received, it will be provided in a supplemental report upon completion of the investigation.The event involves a device that is not cleared for sale in the u.S., but similar device is commercially available in the u.S.Device not returned.
 
Event Description
After the bone cement was stirred, it hardened early.It may have been taken out of the refrigerator earlier.Are there similar events in the same lot?.
 
Manufacturer Narrative
Corrected the type of reportable event.Reported event: an event regarding setting time of bone cement involving simplex p-japanese twin pack was reported.The event was not confirmed.Method & results: device evaluation and results: visual inspection: visual inspection was performed on three of the retain samples of the reported lot while mixing the cement product.No unusual characteristics were observed during the mixing.It was also stated that the cement was seen to have a homogeneous appearance.Refer to attached laboratory results in communications tab.Dimensional inspection: not performed and not relevant to this event which relates to the setting time of bone cement.Functional inspection: functional testing was performed on three of the retain samples of the reported lot to verify the doughing time, working time and setting time of the product.The attached laboratory report show that the samples met the required specification for the test.Material analysis: not performed and not relevant to this event which relates to the setting time of bone cement.Medical records received and evaluation: no medical records were received for review with a clinical consultant.  device history review: all devices were manufactured and accepted into final stock with no relevant reported discrepancies.Complaint history review: there have been no other similar events for the reported lot.Conclusions: it was reported during surgery after the bone cement was stirred, it hardened early.It may have been taken out of the refrigerator earlier.Functional testing was performed on three of the retain samples of the reported lot to verify the doughing time, working time and setting time of the product.The attached laboratory report show that the samples met the required specification for the test.Visual inspection was performed of the reported lot while mixing the cement product.No unusual characteristics were observed during the mixing.It was also stated that the cement was seen to have a homogeneous appearance.The results met the specification for the test.No further investigation for this event is possible at this time.If additional information becomes available to indicate further evaluation is warranted, this record will be reopened.H3 other text : device not returned.
 
Event Description
After the bone cement was stirred, it hardened early.It may have been taken out of the refrigerator earlier.Are there similar events in the same lot?.
 
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Brand Name
SIMPLEX P-JAPANESE TWIN PACK
Type of Device
BONE CEMENT
Manufacturer (Section D)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
MDR Report Key10282530
MDR Text Key199069681
Report Number0002249697-2020-01463
Device Sequence Number1
Product Code LOD
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional
Type of Report Initial,Followup
Report Date 12/09/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date12/31/2023
Device Catalogue Number61910002
Device Lot NumberJJA040
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 06/30/2020
Initial Date FDA Received07/16/2020
Supplement Dates Manufacturer Received11/17/2020
Supplement Dates FDA Received12/09/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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