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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO UNKNOWN_INSTRUMENTS_PRODUCT; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT

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STRYKER INSTRUMENTS-KALAMAZOO UNKNOWN_INSTRUMENTS_PRODUCT; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Catalog Number UNK_INS
Device Problem Break (1069)
Patient Problem Pain (1994)
Event Date 03/24/2016
Event Type  Injury  
Manufacturer Narrative
Device not available for return.
 
Event Description
It was reported during an open reduction internal fixation for a left acetabular fracture, two stryker drill bits used with a cd4 handpiece allegedly fractured and remained inside the patient after the procedure.It was also reported the plaintiff sustained serious and permanent injury, pain and suffering.No further information was provided.This report is for the cd4 handpiece in use at the time of the alleged drill bit fractures.
 
Manufacturer Narrative
Based on further review of the reported event, there is no indication the handpiece malfunctioned in a manner that caused or contributed to this event.This handpiece is deemed concomitant to the associated cutting accessories.The malfunction of the cutting accessories was reported separately on mfr report numbers 0001811755-2019-00033 and 0001811755-2019-00032.This report does not represent a reportable malfunction.
 
Event Description
It was reported during an open reduction internal fixation for a left acetabular fracture, two stryker drill bits used with a cd4 handpiece allegedly fractured and remained inside the patient after the procedure.It was also reported the plaintiff sustained serious and permanent injury, pain and suffering.No further information was provided.This report is for the cd4 handpiece in use at the time of the alleged drill bit fractures.
 
Manufacturer Narrative
Due to the legal nature of this complaint neither the device or medical records are available for review.Device not returned.
 
Event Description
It was reported during an open reduction internal fixation for a left acetabular fracture, two stryker drill bits used with a cd4 handpiece allegedly fractured and remained inside the patient after the procedure.It was also reported the plaintiff sustained serious and permanent injury, pain and suffering.No further information was provided.This report is for the cd4 handpiece in use at the time of the alleged drill bit fractures.
 
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Brand Name
UNKNOWN_INSTRUMENTS_PRODUCT
Type of Device
INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT
Manufacturer (Section D)
STRYKER INSTRUMENTS-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
Manufacturer (Section G)
STRYKER INSTRUMENTS-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
Manufacturer Contact
zach baker
4100 east milham avenue
kalamazoo, MI 49001
2693237700
MDR Report Key8226163
MDR Text Key132354478
Report Number0001811755-2019-00043
Device Sequence Number1
Product Code HWE
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
UNKNOWN
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type other
Reporter Occupation Other
Type of Report Initial,Followup,Followup
Report Date 06/20/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberUNK_INS
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 12/11/2018
Initial Date FDA Received01/08/2019
Supplement Dates Manufacturer Received12/11/2018
06/07/2019
Supplement Dates FDA Received05/15/2019
06/20/2019
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
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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