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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER GMBH UNKNOWN PROXIMAL SCREW; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES

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STRYKER GMBH UNKNOWN PROXIMAL SCREW; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES Back to Search Results
Catalog Number UNK_KIE
Device Problem Malposition of Device (2616)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/21/2023
Event Type  malfunction  
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.
 
Event Description
As reported: "the proximal screw deviated from the screw hole of the nail.The surgeon is considering revision surgery and have not yet made a decision.".
 
Manufacturer Narrative
The reported event could not be confirmed since the device was not returned for evaluation and no other evidence was provided.A review of the device history was not possible because the lot number was not communicated.No corrective actions are required at this time.A review of the labeling was not possible because the catalog number and lot number were not communicated.Generally, it is pointed out that a pre-functional check has to be performed before use.Doing so, any potential misalignment will be detected prior to treatment.Indications of material, manufacturing, or design related problems were unable to be identified as the catalog number and lot number were not communicated.The screw in question was the only one filed as misplaced.No event was reported regarding placing for the remaining screws.We received the information that, from medical point of view, ¿nothing is being done.Revision surgery is not planned.¿ leaving the patient in given condition is in the responsibility of the surgeon.If the device is returned or if any additional information is provided, the investigation will be reassessed.Based on investigation, the root cause was attributed to a user related issue.With available information a product deficiency was not verified.
 
Event Description
As reported: "the proximal screw deviated from the screw hole of the nail.The surgeon is considering revision surgery and have not yet made a decision.".
 
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Brand Name
UNKNOWN PROXIMAL SCREW
Type of Device
ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES
Manufacturer (Section D)
STRYKER GMBH
bohnackerweg 1
postfach
selzach 2545
SZ  2545
Manufacturer (Section G)
STRYKER TRAUMA KIEL
prof. kuentscher-strasse 1-5
schoenkirchen/kiel D-242 32
GM   D-24232
Manufacturer Contact
anna jusinski
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key18319636
MDR Text Key330393339
Report Number0009610622-2023-00449
Device Sequence Number1
Product Code HSB
Combination Product (y/n)N
Reporter Country CodeJA
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 12/13/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/13/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberUNK_KIE
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received11/21/2023
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
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