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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP SPINEMAP® 3D 3.1 - SOFTWARE; NEUROLOGICAL STEREOTAXIC INSTRUMENT

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP SPINEMAP® 3D 3.1 - SOFTWARE; NEUROLOGICAL STEREOTAXIC INSTRUMENT Back to Search Results
Model Number 6002-680-000
Medical Device Problem Code Incorrect Measurement (1383)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/23/2023
Type of Reportable Event Malfunction
Event or Problem Description
Per the customer, during a l5/s1 fixation with navigation after positioning all 4 screws with navigation and having taken final image acquisition noticed one of the screws (right l5) appeared to be more lateral than it showed when placing the screw with navigation.The screw was repositioned with x-ray.The procedure was completed successfully without a clinically significant delay; no medical intervention or adverse consequences were reported.
 
Additional Manufacturer Narrative
Update: d9, h3, h6.Correction: follow-up report submitted to document the device was not available for evaluation.H3 other text : log files not submitted by customer for evaluation.
 
Event or Problem Description
Per the customer, during a l5/s1 fixation with navigation after positioning all 4 screws with navigation and having taken final image acquisition noticed one of the screws (right l5) appeared to be more lateral than it showed when placing the screw with navigation.The screw was repositioned with x-ray.The procedure was completed successfully without a clinically significant delay; no medical intervention or adverse consequences were reported.
 
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Brand Name
SPINEMAP® 3D 3.1 - SOFTWARE
Common Device Name
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 Key16682536
Report Number3015967359-2023-00689
Device Sequence Number20656375
Product Code HAW
UDI-Device Identifier07613327359954
UDI-Public07613327359954
Combination Product (Y/N)N
Initial Reporter CountryUK
PMA/510(K) Number
K002732
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 08/21/2023
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 Model Number6002-680-000
Device Catalogue Number6002-680-000
Device Lot NumberÚNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 03/23/2023
Supplement Date Received by Manufacturer08/15/2023
Initial Report FDA Received Date04/05/2023
Supplement Report FDA Received Date08/21/2023
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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