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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER TRAUMA KIEL LONG NAIL KIT R2.0, TI, LEFT GAMMA3® Ø11X300MM X 125°; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES

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STRYKER TRAUMA KIEL LONG NAIL KIT R2.0, TI, LEFT GAMMA3® Ø11X300MM X 125°; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES Back to Search Results
Model Number 3325-0300S
Device Problems Break (1069); Fracture (1260)
Patient Problem Failure of Implant (1924)
Event Date 03/31/2022
Event Type  Injury  
Event Description
It was reported that a gamma nail broke and the patient required revision surgery.
 
Manufacturer Narrative
Based on the available information the device will not be returned therefore an evaluation of the device cannot be performed.A review of the device history is not possible because the lot number was not communicated.Should additional information become available, it will be provided in a supplemental report.
 
Event Description
It was reported that a gamma nail broke and the patient required revision surgery.
 
Manufacturer Narrative
Please note corrections to h3, h6 method code, h6 results code and h6 conclusion codes.The reported event could not be confirmed since the device was not returned for evaluation and no other evidence was provided.A review of the device history for the reported lot did not indicate any abnormalities.No corrective actions are required at this time.A device inspection was not possible since the affected device was thrown away and x-rays were provided in the communication chain but those belonging to the initial and first revision surgery were not related to the reported product or the reported event so no medical opinion was sought out.A review of the labeling did not indicate any abnormalities.No indications of material, manufacturing or design related problems were found during the investigation.Based on the provided information during the communication the nail broke due to pseudarthrosis, the root cause can be attributed to patient related.If the device is returned or if any additional information is provided, the investigation will be reassessed.
 
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Brand Name
LONG NAIL KIT R2.0, TI, LEFT GAMMA3® Ø11X300MM X 125°
Type of Device
ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES
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
anna jusinski
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key14249928
MDR Text Key290373267
Report Number0009610622-2022-00158
Device Sequence Number1
Product Code HSB
UDI-Device Identifier07613153313458
UDI-Public07613153313458
Combination Product (y/n)N
Reporter Country CodeGM
PMA/PMN Number
K200869
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Nurse
Type of Report Initial,Followup
Report Date 09/20/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/29/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Expiration Date02/28/2023
Device Model Number3325-0300S
Device Catalogue Number33250300S
Device Lot NumberK0694DF
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received08/25/2022
Was Device Evaluated by Manufacturer? No
Date Device Manufactured03/08/2018
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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