MAUDE Adverse Event Report: STRYKER GMBH SR MCP, IMPLANT SIZE LARGE; SEMI-CONSTRAINED METAL/POLYMER FINGER JOINT PROSTHESIS

Model Number 5800-LG00

Device Problem Naturally Worn (2988)

Patient Problems Failure of Implant (1924); Joint Dislocation (2374)

Event Date 08/17/2021

Event Type  Injury  

Manufacturer Narrative

The device will not be returned.If additional information becomes available, it will be provided in a supplemental report.Device disposition is unknown.

Event Description

It was reported the patient required revision surgery due to a worn poly and dislocated joint.The original surgery was at least 10 years prior to the revision.

• Brand Name: SR MCP, IMPLANT SIZE LARGE
• Type of Device: SEMI-CONSTRAINED METAL/POLYMER FINGER JOINT PROSTHESIS
• Manufacturer (Section D): STRYKER GMBH; bohnackerweg 1; postfach; selzach 2545 ; SZ 2545
• Manufacturer (Section G): STRYKER GMBH; bohnackerweg 1; postfach; selzach 2545 ; SZ 2545
• Manufacturer Contact: kristen canter ; 325 corporate drive; mahwah, NJ 07430 ; 2018315000
• MDR Report Key: 12619097
• MDR Text Key: 276460023
• Report Number: 0008031020-2021-00435
• Device Sequence Number: 1
• Product Code: MPK
• UDI-Device Identifier: 00886385020983
• UDI-Public: 00886385020983
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: H010001
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: health professional
• Reporter Occupation: Physician
• Type of Report: Initial
• Report Date: 10/12/2021

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 10/12/2021
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Device Operator: Lay User/Patient
• Device Model Number: 5800-LG00
• Device Catalogue Number: 5800LG00
• Device Lot Number: UNKNOWN
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 09/22/2021
• 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 Number: 1
• Patient Outcome(s): Required Intervention
• Patient Age: 39 YR