Brand Name | HEADED PIN IMPACTOR EXTRACTOR |
Type of Device | PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO |
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 |
keyla
navedo
|
325 corporate drive |
mahwah, NJ 07430
|
2018315000
|
|
MDR Report Key | 5180153 |
MDR Text Key | 29971057 |
Report Number | 0002249697-2015-03453 |
Device Sequence Number | 1 |
Product Code |
MBH
|
Combination Product (y/n) | N |
Reporter Country Code | CA |
PMA/PMN Number | K123486 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,other |
Reporter Occupation |
Other
|
Type of Report
| Initial,Followup |
Report Date |
09/28/2015 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 10/27/2015 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Other
|
Device Catalogue Number | 6541-4-300 |
Device Lot Number | N2T18 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 11/10/2015 |
Is the Reporter a Health Professional? |
No
|
Date Manufacturer Received | 12/22/2015 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 06/27/2008 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
|
|