Brand Name | SET SCREWDRIVER, FLEXIBLE SHAFT GAMMA3® 4 MM |
Type of Device | ORTHOPEDIC MANUAL SURGICAL INSTRUMENT |
Manufacturer (Section D) |
STRYKER TRAUMA KIEL |
prof. kuentscher-strasse 1-5 |
schoenkirchen/kiel D-242 32 |
|
Manufacturer (Section G) |
STRYKER TRAUMA KIEL |
prof. kuentscher-strasse 1-5 |
|
schoenkirchen/kiel D-242 32 |
|
Manufacturer Contact |
anna
jusinski
|
325 corporate drive |
mahwah, NJ 07430
|
2018315000
|
|
MDR Report Key | 9177191 |
MDR Text Key | 191805196 |
Report Number | 0009610622-2019-00863 |
Device Sequence Number | 1 |
Product Code |
LXH
|
UDI-Device Identifier | 04546540592545 |
UDI-Public | 04546540592545 |
Combination Product (y/n) | N |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
other |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
10/10/2019 |
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
|
Device Operator |
Health Professional
|
Device Catalogue Number | 13200233 |
Device Lot Number | UNKNOWN |
Was Device Available for Evaluation? |
No
|
Initial Date Manufacturer Received |
09/13/2019 |
Initial Date FDA Received | 10/10/2019 |
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 Number | 1 |