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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH DELTA V-40 CERAMIC HEAD 36/0; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/CERAMIC/POLYMER, CEMENTED OR NON-POROUS

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STRYKER ORTHOPAEDICS-MAHWAH DELTA V-40 CERAMIC HEAD 36/0; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/CERAMIC/POLYMER, CEMENTED OR NON-POROUS Back to Search Results
Catalog Number 6570-0-136
Device Problem Insufficient Information (3190)
Patient Problem Unequal Limb Length (4534)
Event Date 06/01/2022
Event Type  Injury  
Event Description
Incident report received by the tga 15/09/2023.I'm concerned as this product was alerted by stryker in jan 2022 as a voluntary recall.I'm wondering if australia was issued the same alert? there are numerous documents that i have found online by stryker stating the product of this lot number was possibly defective and wrong sizing compared to what stated on product packaging.There were numerous complications mentioned in the alerts that it cause leg length discrepancy, weakness of the abductor muscle, hip dislocation of femoral head from acetabular cup, and pain and inability to walk leading to revision surgery.My partner had this device put in him last year on (b)(6) 2022 and had all these issues plus more.The pain and suffering has been over 15 months and very poor management post care from the surgeon which is really poor duty of care.
 
Manufacturer Narrative
Reported event: an event regarding limb length discrepancy involving a ceramic head was reported.The event was not confirmed.Method & results: product evaluation and results: material analysis, visual, functional and dimensional inspections could not be performed as the device was not returned.Clinician review: no medical records were received for review with a clinical consultant.Product history review: review of the device history records indicate devices were manufactured and accepted into final stock with no relevant reported discrepancies.Complaint history review: there have been no other similar events for the lot referenced.Conclusions: the exact cause of the event could not be determined because insufficient information was provided.Further information such as return of the device, pathology reports, pre- and post-operative x-rays and the revision operative report as well as patient history and follow-up notes are needed to complete the investigation for determining root cause.The patient would like to know if the implant was subject to a recall.Upon review, there are no recalls associated with this device.No further investigation for this event is possible at this time.If devices and/or additional information become available to indicate further evaluation is warranted, this record will be reopened.H3 other text: device not returned to the manufacturer.
 
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Brand Name
DELTA V-40 CERAMIC HEAD 36/0
Type of Device
PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/CERAMIC/POLYMER, CEMENTED OR NON-POROUS
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
arokiya raj
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key18234583
MDR Text Key329314893
Report Number0002249697-2023-01470
Device Sequence Number1
Product Code LZO
UDI-Device Identifier04546540608512
UDI-Public04546540608512
Combination Product (y/n)N
Reporter Country CodeAS
PMA/PMN Number
K052718
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Company Representative
Reporter Occupation Other
Type of Report Initial
Report Date 11/29/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue Number6570-0-136
Device Lot Number93950103
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 11/06/2023
Initial Date FDA Received11/29/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured05/05/2022
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 Outcome(s) Other;
Patient SexMale
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