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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER GMBH 1.7X7MM BONE SCREW,CROSS-PIN,SELF-T; PLATE, FIXATION, BONE

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STRYKER GMBH 1.7X7MM BONE SCREW,CROSS-PIN,SELF-T; PLATE, FIXATION, BONE Back to Search Results
Catalog Number 58-17007E
Device Problem Material Deformation (2976)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/26/2023
Event Type  malfunction  
Event Description
As reported: "the surgeon put a variax 2 1.7 cortex screw through a variax hand plate, and saw on the x-ray that the screw looked too long.After removing the screw, it was noticed that it had uncoiled itself and therefore was too long.".
 
Manufacturer Narrative
Once the investigation has been completed any additional information will be reported in a supplemental report.
 
Manufacturer Narrative
The reported event could be confirmed, since the product was returned for evaluation and matches the alleged failure mode.The device inspection revealed the following: the received screw was in used condition.The threads of the screw were chipped of in the thread like form.This generally happens when the screw is screwed without proper alignment with the plate and is in direct contact with the plate edge leading to the chip-off of the threads in such manner.The damaged & deformation of the threads on the screw surface also indicates the same.The device history record could not be reviewed because the lot number was not communicated.A review of the labeling did not indicate any abnormalities.Based on the investigation, the root cause was most likely attributed to a user related issue.The failure was caused by mishandling of the device during usage.If any further information is provided, the complaint report will be updated.
 
Event Description
As reported: "the surgeon put a variax 2 1.7 cortex screw through a variax hand plate, and saw on the x-ray that the screw looked too long.After removing the screw, it was noticed that it had uncoiled itself and therefore was too long.".
 
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Brand Name
1.7X7MM BONE SCREW,CROSS-PIN,SELF-T
Type of Device
PLATE, FIXATION, BONE
Manufacturer (Section D)
STRYKER GMBH
bohnackerweg 1
postfach
selzach 2545
SZ  2545
Manufacturer (Section G)
STRYKER LEIBINGER FREIBURG
boetzingerstr. 41
freiburg D-791 11
GM   D-79111
Manufacturer Contact
anna jusinski
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key17578667
MDR Text Key322174967
Report Number0008031020-2023-00309
Device Sequence Number1
Product Code HRS
UDI-Device Identifier07613154583454
UDI-Public07613154583454
Combination Product (y/n)N
Reporter Country CodeAS
PMA/PMN Number
K062498
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Nurse Practitioner
Type of Report Initial,Followup
Report Date 10/13/2023
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 Number58-17007E
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/17/2023
Initial Date Manufacturer Received 07/26/2023
Initial Date FDA Received08/18/2023
Supplement Dates Manufacturer Received09/20/2023
Supplement Dates FDA Received10/13/2023
Was Device Evaluated by Manufacturer? Yes
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 Age60 YR
Patient SexMale
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