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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER GMBH CORTEX SCREW S.T. 3.5X16MM; PLATE, FIXATION, BONE

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STRYKER GMBH CORTEX SCREW S.T. 3.5X16MM; PLATE, FIXATION, BONE Back to Search Results
Catalog Number 338616S
Device Problem Material Fragmentation (1261)
Patient Problems No Known Impact Or Consequence To Patient (2692); No Clinical Signs, Symptoms or Conditions (4582)
Event Date 08/03/2020
Event Type  malfunction  
Manufacturer Narrative
Upon completion of investigation, additional information will be provided in a supplemental report.
 
Event Description
Customer reported that : "during the procedure, before use, the presence of an anomaly on the thread is noted: presence of a metallic debris." "the excess metal was on the screw when it came out of the package".Procedure was completed successfully, "use of another screw because the defect was detected before use".No consequences for the patient.Surgical delay: "just the time it takes to assess the situation and to take another screw." no additional medical intervention required.
 
Event Description
Customer reported that : "during the procedure, before use, the presence of an anomaly on the thread is noted: presence of a metallic debris." - "the excess metal was on the screw when it came out of the package" - procedure was completed successfully, "use of another screw because the defect was detected before use" - no consequences for the patient - surgical delay: "just the time it takes to assess the situation and to take another screw." - no additional medical intervention required.
 
Manufacturer Narrative
The reported event could be confirmed.The device was returned, and a stainless steel wire from manufacturing remained attached to the device.Based on the investigation, the cause was deemed manufacturing related.Review of the device history for the reported lot did not indicate any abnormalities.Based on currently available information, no further action is required at this time.If additional information becomes available, the investigation will be updated.
 
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Brand Name
CORTEX SCREW S.T. 3.5X16MM
Type of Device
PLATE, FIXATION, BONE
Manufacturer (Section D)
STRYKER GMBH
bohnackerweg 1
postfach
selzach 2545
SZ  2545
MDR Report Key10485663
MDR Text Key206569569
Report Number0008031020-2020-02208
Device Sequence Number1
Product Code HRS
Combination Product (y/n)N
PMA/PMN Number
K050512
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional
Type of Report Initial,Followup
Report Date 11/18/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number338616S
Device Lot NumberD61747
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/19/2020
Initial Date Manufacturer Received 08/10/2020
Initial Date FDA Received09/02/2020
Supplement Dates Manufacturer Received10/23/2020
Supplement Dates FDA Received11/18/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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