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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP ZIP 16 SURGICAL SKIN CLOSURE DEVICE; TAPE AND BANDAGE, ADHESIVE

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP ZIP 16 SURGICAL SKIN CLOSURE DEVICE; TAPE AND BANDAGE, ADHESIVE Back to Search Results
Catalog Number PS1160
Device Problem Biocompatibility (2886)
Patient Problems Dysphagia/ Odynophagia (1815); Hypersensitivity/Allergic reaction (1907); Itching Sensation (1943); Rash (2033); Dysphasia (2195)
Event Date 09/30/2023
Event Type  Injury  
Manufacturer Narrative
H3 other text : device discarded.
 
Event Description
It was reported that the zip device was used to close the wound after the patient's total knee replacement.The zip was removed from the patient three days early due to an allergic reaction.Patient developed a rash on the wound site and was having difficulty swallowing.Attempts are being made to obtain additional information about the adverse consequences and treatment.
 
Manufacturer Narrative
Additional information: b5, d4 h3 other text : device discarded.
 
Event Description
It was reported that the zip device was used to close the wound after the patient's total knee replacement.The zip was removed from the patient three days early due to an allergic reaction.Patient developed a rash on the wound site, had itching, and was having difficulty swallowing.
 
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Brand Name
ZIP 16 SURGICAL SKIN CLOSURE DEVICE
Type of Device
TAPE AND BANDAGE, ADHESIVE
Manufacturer (Section D)
STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP
1941 stryker way
portage MI 49002
Manufacturer (Section G)
STRYKER INSTRUMENTS-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
Manufacturer Contact
colette chung
1941 stryker way
portage, MI 49002
2693237700
MDR Report Key17914844
MDR Text Key325418210
Report Number3015967359-2023-02095
Device Sequence Number1
Product Code KGX
UDI-Device Identifier10865379000016
UDI-Public10865379000016
Combination Product (y/n)N
Reporter Country CodeUK
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Consumer
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 01/04/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue NumberPS1160
Device Lot Number0000234200
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 10/03/2023
Initial Date FDA Received10/11/2023
Supplement Dates Manufacturer Received12/08/2023
Supplement Dates FDA Received01/04/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
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) Required Intervention;
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