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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH ABGII. MODULAR STEM; PROSTHESIS, HIP, SEMI-CONSTRAINED, UNCEMENTED, METAL/POLYMER, NON-POROUS, CALICU

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STRYKER ORTHOPAEDICS-MAHWAH ABGII. MODULAR STEM; PROSTHESIS, HIP, SEMI-CONSTRAINED, UNCEMENTED, METAL/POLYMER, NON-POROUS, CALICU Back to Search Results
Catalog Number 4845-4-202
Device Problem Device-Device Incompatibility (2919)
Patient Problems Pain (1994); Metal Related Pathology (4530)
Event Date 12/16/2023
Event Type  Injury  
Manufacturer Narrative
Complaint history review: the complaint databases show there have been no similar events for the reported lot.Similar events have occurred for the catalog number and product family.These events were determined to be associated with ra 2012-067.Voluntary recall ra 2012-067 was initiated for abgii and rejuvenate modular stems and necks due to the potential risks associated with these devices.The reported pain is considered to be under the scope of this recall.No further investigation is required.H3 other text : not returned to the manufacturer.
 
Event Description
The customer reported: "date of implantation : (b)(6) 2010.Date of explantation : 16/12/2023" "incident information : date of occurrence: 16/12/2023.Incident description: acute loosening of the trident acetabulum on abg ii fitted 13 years ago.Observation of metallosis, a pretetrochanteric pseudotumour and a muscular lesion.As well as a significant muscular lesion of the gluteus medius.Patient information: patient's current condition: change of thp for a complete future + metaphyseal cerclage.Post-operative course simple, pain relieved by usual analgesics, satisfactory control x-ray, clean, non-inflammatory scar.Inflammatory.The patient was able to get up and walk around with the help of the physiotherapists without any difficulty.Actions taken in the healthcare establishment to manage the patient: ansm declaration + preservation of the dm + information from the manufacturer/laboratory".
 
Manufacturer Narrative
An event regarding altr involving a abgii modular device was reported.The event was confirmed.  method & results: -device evaluation and results: device evaluation was not performed as no devices were received -device history review: review of device history records found the devices in the reported lot were accepted into final stock with no reported discrepancies.-complaint history review: the complaint databases show there have been other events for the reported lot.Similar events have occurred for the catalog number and product family.These events were determined to be associated with ra 2012-067.Conclusions: voluntary recall ra 2012-067 was initiated for abgii and rejuvenate modular stems and necks due to the potential risks associated with these devices.The reported altr is considered to be under the scope of this recall.No further investigation is required.
 
Event Description
The customer reported: "date of implantation : (b)(6) 2010.Date of explantation : (b)(6) 2023"."incident information : date of occurrence: (b)(6) 2023.Incident description: acute loosening of the trident acetabulum on abg ii fitted 13 years ago.Observation of metallosis, a pretetrochanteric pseudotumour and a muscular lesion.As well as a significant muscular lesion of the gluteus medius.Patient information: patient's current condition: change of thp for a complete future + metaphyseal cerclage.Post-operative course simple, pain relieved by usual analgesics, satisfactory control x-ray, clean, non-inflammatory scar.Inflammatory.The patient was able to get up and walk around with the help of the physiotherapists without any difficulty.Actions taken in the healthcare establishment to manage the patient: ansm declaration + preservation of the dm + information from the manufacturer/laboratory".
 
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Brand Name
ABGII. MODULAR STEM
Type of Device
PROSTHESIS, HIP, SEMI-CONSTRAINED, UNCEMENTED, METAL/POLYMER, NON-POROUS, CALICU
Manufacturer (Section D)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer (Section G)
STRYKER ORTHOPAEDICS-CORK
ida industrial estate
carrigtwohill NA
EI   NA
Manufacturer Contact
joann ripoli
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key18562082
MDR Text Key333444168
Report Number0002249697-2024-00122
Device Sequence Number1
Product Code MEH
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
K092561
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other
Reporter Occupation Other
Remedial Action Recall
Type of Report Initial,Followup
Report Date 04/01/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/23/2024
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Expiration Date03/31/2014
Device Catalogue Number4845-4-202
Device Lot NumberG2656555
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Date Manufacturer Received03/06/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured03/18/2009
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Removal/Correction NumberZ-2089-2012
Patient Sequence Number1
Patient Outcome(s) Required Intervention; Hospitalization;
Patient Age89 YR
Patient SexFemale
Patient Weight49 KG
Patient EthnicityNon Hispanic
Patient RaceWhite
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