MAUDE Adverse Event Report: STRYKER TRAUMA KIEL LONG NAIL KIT R1.5, TI, RIGHT GAMMA3 10X320MM X 125; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES

Model Number	3425-0320S
Medical Device Problem Code	Fracture (1260)
Health Effect - Clinical Codes	Failure of Implant (1924); Injury (2348)
Date of Event	06/08/2020
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
Upon completion of investigation, additional information will be provided in a supplemental report.
Event or Problem Description
It was reported: a nail breakage occurred.Since it has been a while since it was implanted, it is thought to be a breakage due to metal fatigue.Revision surgery occurred as a result.
Event or Problem Description
It was reported: a nail breakage occurred.Since it has been a while since it was implanted, it is thought to be a breakage due to metal fatigue.Revision surgery occurred as a result.
Additional Manufacturer Narrative
The reported event was confirmed.The review of manufacturing documents revealed no deviation in the manufacturing process.Required material properties had been confirmed prior to manufacturing.No nonconformance/corrective action had been filed for the item in question.Potential implant breakage had been considered in the risk management file with appropriate values not having been exceeded by this case.No indications of material, manufacturing or design related problems were found during the investigation.The labelling already states that the implant requires sufficient bone consolidation in order to relieve the nail during the implantation period.The labelling also points out potential reasons for insufficient bone healing ¿ e.G.But not limited to osteoporosis and / or diabetes and points out that an intra-operatively damaged implant is at risk for breakage.In the case presented the fracture pattern identified the nail had broken in fatigue manner after an implantation period of approx.4 months.Intra-operative material damage had significantly weakened the material in highly stress applied area creating an incipient crack.Additional axial load application by the patient had contributed to the event.Intra-operative material damage was regarded being user related.In case substantive information becomes available we reserve the right to re-open the investigation with root cause assessment.

• Brand Name: LONG NAIL KIT R1.5, TI, RIGHT GAMMA3 10X320MM X 125
• Common Device Name: ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES
• Manufacturer (Section D): STRYKER TRAUMA KIEL; prof. kuentscher-strasse 1-5; schoenkirchen/kiel D-242 32; GM D-24232
• MDR Report Key: 10253289
• Report Number: 0009610622-2020-00313
• Device Sequence Number: 2780026
• Product Code: HSB
• UDI-Device Identifier: 04546540375339
• UDI-Public: 04546540375339
• Combination Product (Y/N): N
• PMA/510(K) Number: K034002
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2020
• Reporter Type: Manufacturer
• Report Source: health professional
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date (Section B): 10/09/2020

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: 08/31/2024
• Device Model Number: 3425-0320S
• Device Catalogue Number: 34250320S
• Device Lot Number: K0ADB3F
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 07/03/2020
• Initial Date Received by Manufacturer: 06/12/2020
• Supplement Date Received by Manufacturer: 09/16/2020
• Initial Report FDA Received Date: 07/09/2020
• Supplement Report FDA Received Date: 10/09/2020
• 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: 76 YR