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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER GMBH UNKNOWN STRYKER PIP SILICONE IMPLANT -SIZE 30; PROSTHESIS, FINGER, CONSTRAINED, POLYMER

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STRYKER GMBH UNKNOWN STRYKER PIP SILICONE IMPLANT -SIZE 30; PROSTHESIS, FINGER, CONSTRAINED, POLYMER Back to Search Results
Catalog Number UNK_SEL
Device Problem Break (1069)
Patient Problems Failure of Implant (1924); Loss of Range of Motion (2032); Implant Pain (4561); Swelling/ Edema (4577)
Event Date 11/15/2021
Event Type  Injury  
Event Description
As reported: "patient had the surgery (b)(6) 2020 and a year later the back of ring finger felt swollen and hard, her physician took and x-ray and it showed that the implant had snapped and the bone is "coming out" of the back of patient's finger.Patient can bend the finger a little but it is painful.Patient visited the physician two weeks ago and isn't interested in getting another surgery.Stated that the pain had progressed from when she lasted visited the doctor two weeks ago.".
 
Manufacturer Narrative
The device will not be returned.If additional information becomes available, it will be provided in a supplemental report.Device is not available; device remains implanted in patient.
 
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Brand Name
UNKNOWN STRYKER PIP SILICONE IMPLANT -SIZE 30
Type of Device
PROSTHESIS, FINGER, CONSTRAINED, POLYMER
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
sharon rivas
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key12975198
MDR Text Key282037087
Report Number0008031020-2021-00493
Device Sequence Number1
Product Code KYJ
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Consumer
Reporter Occupation Other
Type of Report Initial
Report Date 12/10/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/10/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Catalogue NumberUNK_SEL
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Date Manufacturer Received11/15/2021
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 Number1
Patient Outcome(s) Other;
Patient Age73 YR
Patient SexFemale
Patient Weight63 KG
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