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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
Device Problems Break (1069); Fracture (1260)
Patient Problem Foreign Body In Patient (2687)
Event Date 05/12/2021
Event Type  malfunction  
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 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.
 
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 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
Type of Device
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
MDR Text Key283413298
Report Number0009610622-2021-00743
Device Sequence Number1
Product Code HWE
UDI-Device Identifier04546540196804
UDI-Public04546540196804
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Administrator/Supervisor
Type of Report Initial,Followup
Report Date 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
Device Operator Health Professional
Device Model Number1806-4270
Device Catalogue Number18064270
Device Lot NumberK07AA83
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 09/21/2021
Initial Date FDA Received10/09/2021
Supplement Dates Manufacturer Received11/25/2021
Supplement Dates FDA Received12/23/2021
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured02/19/2021
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Age57 YR
Patient SexFemale
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