MAUDE Adverse Event Report: STRYKER GMBH TIBIAL COMP,SINGLECOATED US VERSION, MEDIUM; PROSTHESIS, ANKLE, UNCEMENTED, NON-CONSTRAINED

Model Number 400-262

Device Problem Adverse Event Without Identified Device or Use Problem (2993)

Patient Problems Unspecified Infection (1930); Impaired Healing (2378)

Event Date 07/15/2015

Event Type  Injury  

Manufacturer Narrative

Device will not be returned.If additional information becomes available, it will be provided in a supplemental report.

Event Description

As reported: "i had issues with the star ankle replacement as soon as it was put in.The center piece kept breaking and causing fractures.I had multiple revisions and had to have my leg amputated." per medical records received from the patient on (b)(6) 2021 the event is as follow: (b)(6) 2015 : anterior ankle arthrotomy with removal of total ankle implant with bone culture and biopsy.¿ 5th intervention.

Manufacturer Narrative

The reported event could not be confirmed since the device was not returned for evaluation and no other evidences were provided.The medical opinion of a medical expert was requested based on the provided patient documents that we have received.About this complaint, the medical expert explained that: (b)(6)2015 : anterior ankle arthrotomy with removal of total ankle implant with bone culture and biopsy.¿ 5th intervention wound healing problems remain and need revision." this statement allowed us to determine that this complaint is about an infection case.More detailed information about the complaint event as well as the affected device must be available in order to determine the root cause of the infection.A review of the device history for the reported lot did not indicate any abnormalities.No corrective actions are required at this time.A review of the labeling did not indicate any abnormalities.No indications of material, manufacturing or design related problems were found during the investigation.If any further information is provided, the complaint report will be updated.

Event Description

As reported: "i had issues with the star ankle replacement as soon as it was put in.The center piece kept breaking and causing fractures.I had multiple revisions and had to have my leg amputated." per medical records received from the patient on (b)(6), 2021 the event is as follow: (b)(6) 2015 : anterior ankle arthrotomy with removal of total ankle implant with bone culture and biopsy.¿ 5th intervention.

• Brand Name: TIBIAL COMP,SINGLECOATED US VERSION, MEDIUM
• Type of Device: PROSTHESIS, ANKLE, UNCEMENTED, NON-CONSTRAINED
• Manufacturer (Section D): STRYKER GMBH; bohnackerweg 1; postfach; selzach 2545 ; SZ 2545
• MDR Report Key: 11689416
• MDR Text Key: 247955920
• Report Number: 0008031020-2021-00170
• Device Sequence Number: 1
• Product Code: NTG
• UDI-Device Identifier: 00886385016535
• UDI-Public: 00886385016535
• Combination Product (y/n): N
• PMA/PMN Number: P050050
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: consumer
• Type of Report: Initial,Followup
• Report Date: 08/04/2021

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 04/19/2021
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Lay User/Patient
• Device Expiration Date: 03/31/2019
• Device Model Number: 400-262
• Device Catalogue Number: 400262
• Device Lot Number: 1407206
• Was Device Available for Evaluation?: No
• Date Manufacturer Received: 07/13/2021
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1
• Patient Outcome(s): Required Intervention
• Patient Age: 33 WK
• Patient Weight: 61