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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER GMBH CORTEX SCREW S.T. SPS Ø3.5X28MM; SCREW, FIXATION, BONE

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STRYKER GMBH CORTEX SCREW S.T. SPS Ø3.5X28MM; SCREW, FIXATION, BONE Back to Search Results
Model Number 338628
Device Problems Device Appears to Trigger Rejection (1524); Inaccurate Information (4051)
Patient Problems Implant Pain (4561); Swelling/ Edema (4577)
Event Date 10/12/2021
Event Type  Injury  
Event Description
It was reported that the patient broke her left shoulder and had plate put in her arm.She had a reaction to the plate and the plate was removed.Paper in box with plating system had different information than what was documented online.The patient wants more information on the blood test that was supposed to be conducted before the patient was implanted with the stryker plate.The patient alleges that the surgeon never did the blood test.3 months after the plate was implanted the patient experience a severe reaction with immense swelling and pain.Patient said the surgeon told her that the reaction was in her head.Patient states that she was "toxic" due to the nickle that was being emitted from the stainless steel material the plate was made of.Patient alleges that if the surgeon had conducted the required blood work prior to the surgery, this issue could have been mitigated by the use of a titanium plate instead.The patient mentioned she is working with her attorney on a case against the surgeon and the hospital and mentioned that she also felt stryker had some liability in this as well.
 
Manufacturer Narrative
Based on the available information the device will not be returned therefore an evaluation of the device cannot be performed.A review of the device history is not possible because the lot number was not communicated.Should additional information become available, it will be provided in a supplemental report.Device discarded/legal case.
 
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Brand Name
CORTEX SCREW S.T. SPS Ø3.5X28MM
Type of Device
SCREW, FIXATION, BONE
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
anna jusinski
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key15833983
MDR Text Key304009737
Report Number0008031020-2022-00632
Device Sequence Number1
Product Code HWC
UDI-Device Identifier07613327080674
UDI-Public07613327080674
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K050512
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Consumer
Reporter Occupation Other
Type of Report Initial
Report Date 11/21/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/21/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Model Number338628
Device Catalogue Number338628
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Date Manufacturer Received10/25/2022
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 Age62 YR
Patient SexFemale
Patient Weight59 KG
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