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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER GMBH UNKNOWN REUNION TSA HUMERAL HEAD; IMPLANT

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STRYKER GMBH UNKNOWN REUNION TSA HUMERAL HEAD; IMPLANT Back to Search Results
Catalog Number UNK_SEL
Device Problems Loose or Intermittent Connection (1371); Appropriate Term/Code Not Available (3191)
Patient Problem Unspecified Infection (1930)
Event Date 10/01/2017
Event Type  Injury  
Manufacturer Narrative
It was noted that the device is not available for evaluation.If additional information is received, it will be provided in a supplemental report upon completion of the investigation.Device evaluated by mfr: device disposition is unknown.
 
Event Description
The manufacturer became aware of a study from the (b)(6) university medical center, (b)(6), usa.The title of this report is ¿simultaneous bilateral resection total shoulder arthroplasty with anatomic antibiotic cement spacer retention¿ which was published in october-2017 and is associated with the stryker reunion tsa.Within that publication, post-operative complications/ adverse events were reported.It was not possible to ascertain specific device catalog from the study; a review of the complaint handling database, however, revealed that the events have not been reported by the hospital or by the author of the publication.Therefore, 6 complaints were initiated retrospectively for different adverse events mentioned in the study.This product inquiry addresses bilateral arthroscopic shoulder irrigation and debridement, loose glenoid component.2 out of 2 cases.Left shoulder the study reports, ¿approximately 10 days after completion of antibiotics, the patient¿s shoulder symptoms returned to a level worse than they had been previously.He presented to an outside emergency department.[.] the patient underwent bilateral arthroscopic shoulder irrigation and debridement.The glenoid components were noted to be loose bilaterally but were retained.Cultures again grew s.Aureus, and the patient was prescribed intravenous antibiotics.¿.
 
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Brand Name
UNKNOWN REUNION TSA HUMERAL HEAD
Type of Device
IMPLANT
Manufacturer (Section D)
STRYKER GMBH
bohnackerweg 1
postfach
selzach 2545
CH  2545
Manufacturer (Section G)
STRYKER GMBH
bohnackerweg 1
postfach
selzach 2545
CH   2545
Manufacturer Contact
anna jusinski
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key8803693
MDR Text Key151481589
Report Number0008031020-2019-00874
Device Sequence Number1
Product Code HSD
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional
Reporter Occupation Physician
Type of Report Initial
Report Date 07/18/2019
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? No
Device Operator Lay User/Patient
Device Catalogue NumberUNK_SEL
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 06/21/2019
Initial Date FDA Received07/18/2019
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient Age66 YR
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