STRYKER ORTHOPAEDICS-MAHWAH 127 SIZE 8 SECUR-FIT ADVANCED STEM; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/POLYMER, POROUS UNCEMENTED
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Model Number 1601-08127 |
Device Problems
Mechanical Problem (1384); Manufacturing, Packaging or Shipping Problem (2975)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 09/23/2019 |
Event Type
malfunction
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Manufacturer Narrative
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Review of the device history records indicate devices were manufactured and accepted into final stock with no relevant reported discrepancies.There have been no other similar events for the lot referenced.If additional information is received, it will be provided in a supplemental report upon completion of the investigation.
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Event Description
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Primary procedure, right hip.It was reported that as the secur-fit advanced stem was being implanted and was about 1/2 way up the ha coating, the pa observed the stem looked unusual.The stem was removed and inspected.The ha coating seemed to be much thicker than normal, with the normalization lines on the sides nearly filled in.Another stem (same catalog, different lot) was opened and looked completely different than the first stem, and looked normal.There was an approximate 5 minute surgical delay to retrieve the second stem.Rep was present for the procedure and witnessed the stem.Rep provided the usage sheet showing the wasted stem, and pictures of the device, which is available for return.
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Manufacturer Narrative
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H1 reported as serious injury in error and corrected to malfunction.Reported event an event regarding other involving a secure-fit stem was reported.The event was not confirmed.Method & results -product evaluation and results: visual inspection of the returned device noted the following: device was returned in unused condition.The ha coating appeared thicker than usual.No other remarkable observations were noted.Dimensional inspection of the returned device noted the following: dimensional analysis was completed by a manufacturing sme.See below for more details.-medical records received and evaluation: no medical records were received for review with a clinical consultant.-product history review: a review of the device manufacturing records indicate that all devices accepted into final stock were free from discrepancies.-complaint history review: there have been no other similar events for the lot referenced.Conclusions: an investigation on this product was initiated after operations was made aware of this complaint.The investigation included a visual re-inspection.The ha spray on product was initially inspected, per the normal process requirements.Following the ha spray inspection, the ha was stripped per procedure, and then the plasma spray was inspected.Both inspections were conducted by trained inspectors who passed the product again for visual requirements.Due to this product passing both the original inspection and the re-inspection, the complaint record shall not escalate to the initiation of a non-conformance record.Product surveillance will continue to monitor for trends.Corrective action/preventive action: no action is required at this time as there is no indication to suggest a product non-conformity or unanticipated hazard.
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Event Description
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Primary procedure, right hip.It was reported that as the secur-fit advanced stem was being implanted and was about 1/2 way up the ha coating, the pa observed the stem looked unusual.The stem was removed and inspected.The ha coating seemed to be much thicker than normal, with the normalization lines on the sides nearly filled in.Another stem (same catalog, different lot) was opened and looked completely different than the first stem, and looked normal.There was an approximate 5 minute surgical delay to retrieve the second stem.Rep was present for the procedure and witnessed the stem.Rep provided the usage sheet showing the wasted stem, and pictures of the device, which is available for return.
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Search Alerts/Recalls
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