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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH UNKNOWN_RECONSTRUCTIVE_PRODUCT; INSTRUMENT

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STRYKER ORTHOPAEDICS-MAHWAH UNKNOWN_RECONSTRUCTIVE_PRODUCT; INSTRUMENT Back to Search Results
Catalog Number UNK_REC
Device Problem Device Inoperable (1663)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 06/01/2015
Event Type  malfunction  
Event Description
During a primary hip procedure, surgeon mentioned that the reamers sizes 48, 49, 50 were not cutting, they were merely polishing.Sales rep stated to staff to take reamers out of service.Another set of reamers was on hand and used to complete the case without delay/incident.
 
Manufacturer Narrative
Catalog number unknown at this time.Device description reported as unknown #48 reamer.A supplemental report will be submitted upon completion of the investigation.
 
Manufacturer Narrative
The event could not be confirmed nor the root cause of the reported event determined due to the minimal information received.No further investigation for this event is possible at this time as insufficient information was received by stryker orthopaedics.If additional information becomes available, this investigation will be reopened.
 
Event Description
During a primary hip procedure, surgeon mentioned that the reamers sizes 48, 49, 50 were not cutting, they were merely polishing.Sales rep stated to staff to take reamers out of service.Another set of reamers was on hand and used to complete the case without delay/incident.
 
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Brand Name
UNKNOWN_RECONSTRUCTIVE_PRODUCT
Type of Device
INSTRUMENT
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 Key4869564
MDR Text Key21182474
Report Number0002249697-2015-02073
Device Sequence Number1
Product Code HTO
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Health Professional,health professional,oth
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 06/01/2015
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/25/2015
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberUNK_REC
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Date Manufacturer Received09/23/2015
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Outcome(s) Other;
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