MAUDE Adverse Event Report: STRYKER SPINE-US ACCULIF PL 6-9MM X 11MM X 27 MM X 8 DEG CAGE; INTERVERTEBRAL BODY FUSION DEVICE

Catalog Number	400006
Medical Device Problem Code	Mechanical Problem (1384)
Health Effect - Clinical Code	No Known Impact Or Consequence To Patient (2692)
Date of Event	05/01/2016
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that; during insertion of cage, it would not hold pressure.Update: the event occurred on (b)(6) 2016 rep confirmed he was not made aware of this until (b)(6) 2016.The surgery was completed using another cage.
Additional Manufacturer Narrative
Device history review; complaint history review; risk assessment; manufacturing records were reviewed for the corresponding lot and no relevant issues were identified.The implant was not returned for evaluation because the implant was not returned for evaluation the root cause could not be determined conclusively.
Event or Problem Description
It was reported that; during insertion of cage, it would not hold pressure.Update: the event occurred on (b)(6) 2016 rep confirmed he was not made aware of this until (b)(6) 2016.The surgery was completed using another cage.

• Brand Name: ACCULIF PL 6-9MM X 11MM X 27 MM X 8 DEG CAGE
• Common Device Name: INTERVERTEBRAL BODY FUSION DEVICE
• Manufacturer (Section D): STRYKER SPINE-US; 2 pearl court; allendale NJ 07401
• MDR Report Key: 5894731
• Report Number: 3004024955-2016-00078
• Device Sequence Number: 18950693
• Product Code: MAX
• UDI-Device Identifier: 07613327066753
• UDI-Public: (01)07613327066753
• Combination Product (Y/N): N
• Initial Reporter Country: US
• PMA/510(K) Number: K143616
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: health professional
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date (Section B): 07/29/2016

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
• Operator of Device: No Information
• Device Catalogue Number: 400006
• Device Lot Number: 06291509
• Was Device Available for Evaluation?: No
• Type of Report(Section G): FDA Requested
• Initial Date Received by Manufacturer: 07/29/2016
• Supplement Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 08/22/2016
• Supplement Report FDA Received Date: 10/28/2016
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1