The reported event could not be confirmed, since the device was not returned for evaluation and no other additional information is available.More detailed information about the complaint event as well as the affected device must be available in order to determine the root cause of the complaint event.The device history record could not be reviewed because the affected lot number was not communicated.If any further information is provided, the investigation report will be updated.Device disposition is unknown.
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The manufacturer became aware of a literature published by regional orthopaedic hospital, in ireland.The title of this report is ¿use of smart toe implant for small toe arthrodesis: a smart concept?¿ which is associated with the stryker ¿smart toe¿ system.The article can be found at pubmed with id 25937410.Within that publication, post-operative complications/ adverse events were reported, which allegedly occurred from february 2011 to december 2012.It was not possible to ascertain specific device details or patient information from the report, or to match the events reported with previously reported complaints.Therefore, 8 complaints were initiated retrospectively for the post-operative complications mentioned in the report.This product inquiry addresses metal cut-out followed by revision surgery including its removal.2 out of 2 cases.The report states: ¿there were two cases of implant cut out.All cut outs were distal and in the dorsal direction.The first patient was a (b)(6) year-old female and the second was a (b)(6) year-old female.Neither of the two patients was diabetic.The implant was seen to have cut out of the distal fragment at the 2-week review of the two patients.Both patients underwent revision surgery.The implant was removed and fixation was done with kirschner wires.Both patients eventually united, albeit at 8 and 10 weeks ¿.
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