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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH ONLAY INSERT EXTRACTOR; PROSTHESIS, KNEE PATELLOFEMOROTIBIAL, PARTIAL, SEMI-CONSTRAINED, CEMENTED, POLYM

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STRYKER ORTHOPAEDICS-MAHWAH ONLAY INSERT EXTRACTOR; PROSTHESIS, KNEE PATELLOFEMOROTIBIAL, PARTIAL, SEMI-CONSTRAINED, CEMENTED, POLYM Back to Search Results
Catalog Number 160430
Device Problem Bent (1059)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 03/23/2016
Event Type  malfunction  
Manufacturer Narrative
When completed, the investigation results will be submitted in a supplemental report.
 
Event Description
During removal of mako pka poly trial, the poly extractor tool would not fit in the poly removal holes, as the pegs on the tool were bent.
 
Manufacturer Narrative
Reported event: an event regarding damage involving a onlay insert extractor was reported.The event was confirmed.Method & results: device evaluation and results: visual inspection of the onlay insert extractor with the log visible found the left pin appears to be bent outward.The device is dimensionally out of specification.Medical records received and evaluation: not performed as there were no medical records.Device history review: review of the device history records indicates devices were manufactured and accepted into final stock with no reported discrepancies complaint history review: there have been no other events for this lot.Conclusions: the investigation concluded that the onlay insert extractor is out of specification which will cause the device to not work as intended.A review of the inspection record indicated 8 were reviewed and passed inspection for the pin degree feature.The database was reviewed for similar events and many of the complaints were reported as difficult to use which possibly led to the damaged pins.There are clear signs of misuse over time due to rust in the leaf springs which resulted in the device becoming unusable.
 
Event Description
During removal of mako pka poly trial, the poly extractor tool would not fit in the poly removal holes, as the pegs on the tool were bent.
 
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Brand Name
ONLAY INSERT EXTRACTOR
Type of Device
PROSTHESIS, KNEE PATELLOFEMOROTIBIAL, PARTIAL, SEMI-CONSTRAINED, CEMENTED, POLYM
Manufacturer (Section D)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer (Section G)
MAKO SURGICAL CORP.
2555 davie road
fort lauderdale FL 33317
Manufacturer Contact
sandra spokane
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key5585250
MDR Text Key42946237
Report Number3005985723-2016-00124
Device Sequence Number1
Product Code NPJ
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K090763
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 03/23/2016
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/18/2016
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number160430
Device Lot Number26080913
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer05/20/2016
Is the Reporter a Health Professional? No
Date Manufacturer Received06/30/2016
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured12/31/2013
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Outcome(s) Other;
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