MAUDE Adverse Event Report: STRYKER TRAUMA KIEL LOCKING SCREW, FULLY THREADED T2 TIBIA 5X47,5 MM; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES

Model Number	1896-5047S
Medical Device Problem Code	Fracture (1260)
Health Effect - Clinical Codes	Failure of Implant (1924); Injury (2348); Nonunion/Delayed-union Bone Fracture (2369)
Date of Event	05/21/2020
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
Device was not returned as it was still implanted.If the device or additional information becomes available, investigation results will be provided in a supplemental report.
Event or Problem Description
As reported: first operation on (b)(6) 2019.On (b)(6) 2020, customer confirmed the deformation of the screw by x-ray, but customer did not doubt that it was broken, and they followed it.A screw breakage was found on (b)(6) 2020, but the patient was followed up after consultation with the patient.False joints were confirmed on (b)(6) 2020.Two 47.5 mm screws installed distally, the proximal side was broken.The other screw may also break, so the customer decided to perform a revision.
Additional Manufacturer Narrative
The reported event could be confirmed with the help of x-ray provided.A device inspection was not possible since the affected device was not returned, and no other evidences were provided for investigation.A review of the device history for the reported lot did not indicate any abnormalities.No corrective actions are required at this time.Based on the provided medical records, the medical opinion was sought from an experienced independent medical expert which revealed the following; ¿what we can see in the from the one x-ray provided is a fracture gap persisting in the oblique shaft fracture and a bend/broken distal screw.The deformation is the result of the non- union and pseudarthrosis.The x-ray confirms a false joint.The deformation is a result of the missing union, not vice versa.Due to the missing union, the weight of the proximal part of the fracture was put on the screw and resulted in deformation.¿ no indications of material, manufacturing or design related problems were found during the investigation.A review of the labeling did not indicate any abnormalities.Potential adverse effects, e.G.Overweight, increased loading or material damage are clearly pointed out in the labelling.Based on the above investigation, the root cause of the failure is patient related.Medical expert¿s opinion ¿the deformation is the result of the non- union and pseudarthrosis.The x-ray confirms a false joint.The deformation is a result of the missing union.Due to the missing union, the weight of the proximal part of the fracture was put on the screw and resulted in deformation.¿ supports it.If the product is returned or any additional information is provided, the investigation will be reassessed.
Event or Problem Description
As reported: first operation on (b)(6) 2019.On (b)(6) 2020, customer confirmed the deformation of the screw by x-ray, but customer did not doubt that it was broken, and they followed it.A screw breakage was found on (b)(6) 2020, but the patient was followed up after consultation with the patient.False joints were confirmed on (b)(6) 2020.Two 47.5 mm screws installed distally, the proximal side was broken.The other screw may also break, so the customer decided to perform a revision.

• Brand Name: LOCKING SCREW, FULLY THREADED T2 TIBIA 5X47,5 MM
• Common Device Name: ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES
• Manufacturer (Section D): STRYKER TRAUMA KIEL; prof. kuentscher-strasse 1-5; schoenkirchen/kiel D-242 32; DE D-24232
• MDR Report Key: 10186454
• Report Number: 0009610622-2020-00297
• Device Sequence Number: 16370931
• Product Code: HSB
• UDI-Device Identifier: 04546540382351
• UDI-Public: 04546540382351
• Combination Product (Y/N): N
• PMA/510(K) Number: K003018
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2019
• Reporter Type: Manufacturer
• Report Source: health professional
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date (Section B): 08/26/2020

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?: Yes
• Operator of Device: Lay User/Patient
• Device Expiration Date: 03/31/2024
• Device Model Number: 1896-5047S
• Device Catalogue Number: 18965047S
• Device Lot Number: K040E84
• Was Device Available for Evaluation?: No
• Initial Date Received by Manufacturer: 05/27/2020
• Supplement Date Received by Manufacturer: 07/30/2020
• Initial Report FDA Received Date: 06/23/2020
• Supplement Report FDA Received Date: 08/26/2020
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Age: 75 YR