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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER SPINE-US ACCULIF PL 8-12MM X 11MM X 27 MM X 8 DEG CAGE; INTERVERTEBRAL BODY FUSION DEVICE
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STRYKER SPINE-US ACCULIF PL 8-12MM X 11MM X 27 MM X 8 DEG CAGE; INTERVERTEBRAL BODY FUSION DEVICE Back to Search Results
Catalog Number 400008
Medical Device Problem Code Mechanical Problem (1384)
Health Effect - Clinical Codes Failure of Implant (1924); No Known Impact Or Consequence To Patient (2692)
Date of Event 12/12/2016
Type of Reportable Event Malfunction
Event or Problem Description
It was reported; that the cage collapse.
 
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 device remains implanted and is unavailable for evaluation.Conclusion: the plausible root cause could not be identified.
 
Event or Problem Description
It was reported; that the cage collapse,.
 
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Brand Name
ACCULIF PL 8-12MM 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 Key6230816
Report Number3004024955-2017-00001
Device Sequence Number19082187
Product Code MAX
UDI-Device Identifier07613327066760
UDI-Public(01)07613327066760
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
K143616
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2015
Reporter Type Manufacturer
Report Source health professional
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 03/10/2017
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 Number400008
Device Lot Number11101408
Was Device Available for Evaluation? No
Type of Report(Section G)FDA Requested
Initial Date Received by Manufacturer 12/12/2016
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date01/06/2017
Supplement Report FDA Received Date03/10/2017
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)		 No
Patient Sequence Number1
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