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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER TRAUMA KIEL DRILL, AO T2 FEMUR Ø4,2X180 MM; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT

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STRYKER TRAUMA KIEL DRILL, AO T2 FEMUR Ø4,2X180 MM; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Model Number 1806-4270
Medical Device Problem Codes Break (1069); Fracture (1260)
Health Effect - Clinical Code Foreign Body In Patient (2687)
Date of Event 05/12/2021
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The device will not be returned.If additional information becomes available, it will be provided in a supplemental report.Device disposition is unknown.
 
Event or Problem Description
The following was reported via medwatch (b)(4): a stryker drill bit broke and within the body of the medial calcaneus during the procedure.The drill bit was noted to be within the substance of the bone and was left in place.
 
Additional Manufacturer Narrative
The reported event could not be confirmed, since the device was not returned for evaluation and no other evidence was provided.The device inspection was not possible as the product was not returned 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.A review of the labeling did not indicate any abnormalities.More detailed information about the complaint event as well as the affected device must be available to determine the root cause of the complaint event.With the available information, it was observed that a t2 femur drill was used in an ankle surgery.The device is not intended to be used in ankle related surgery, hence this potentially a case of an off-label use if device is returned or any further information is provided, the investigation report will be reassessed.
 
Event or Problem Description
The following was reported via medwatch (b)(4): a stryker drill bit broke and within the body of the medial calcaneus during the procedure.The drill bit was noted to be within the substance of the bone and was left in place.
 
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Brand Name
DRILL, AO T2 FEMUR Ø4,2X180 MM
Common Device Name
INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT
Manufacturer (Section D)
STRYKER TRAUMA KIEL
prof. kuentscher-strasse 1-5
schoenkirchen/kiel D-242 32
GM  D-24232
Manufacturer (Section G)
STRYKER TRAUMA KIEL
prof. kuentscher-strasse 1-5
schoenkirchen/kiel D-242 32
GM   D-24232
Manufacturer Contact
marilyne chaumont
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key12601906
Report Number0009610622-2021-00743
Device Sequence Number14349021
Product Code HWE
UDI-Device Identifier04546540196804
UDI-Public04546540196804
Combination Product (Y/N)N
Initial Reporter StateNJ
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Administrator/Supervisor
Type of Report Initial,Followup
Report Date (Section B) 12/23/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model Number1806-4270
Device Catalogue Number18064270
Device Lot NumberK07AA83
Was Device Available for Evaluation? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 09/21/2021
Supplement Date Received by Manufacturer11/25/2021
Initial Report FDA Received Date10/09/2021
Supplement Report FDA Received Date12/23/2021
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Date Device Manufactured02/19/2021
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient Age57 YR
Patient SexFemale
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