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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER TRAUMA KIEL UNKNOWN GAMMA 3 LAG SCREW; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES

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STRYKER TRAUMA KIEL UNKNOWN GAMMA 3 LAG SCREW; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES Back to Search Results
Catalog Number UNK_KIE
Device Problem Migration (4003)
Patient Problems Failure of Implant (1924); Swelling/ Edema (4577)
Event Date 12/14/2017
Event Type  Injury  
Manufacturer Narrative
This complaint has been generated based on findings discovered during post market surveillance literature review.The alleged event of lag screw protrusion and effusion from the skin, which required revision could not be confirmed, since the device was not returned for evaluation and no other additional information was received from the author.More detailed information about the patient's medical history, the event circumstances, radiographs and the involved device(s) must be available in order to determine the root cause.Additionally, the device history record could not be reviewed because the affected lot number(s) was not communicated.If any additional information becomes available, the investigation will be reopened and re-evaluated accordingly.
 
Event Description
The manufacturer became aware of a literature published by the ¿sasebo kyosai hospital orthopedic surgery, japan ¿.The title of this report is, ¿a case of dislocation without cause after osteosynthesis for a femoral intertrochanteric fracture ¿, published on december 14, 2017, which is associated with the stryker ¿gamma 3 nailing system¿.The article can be found at doi: https://doi.Org/10.5035/nishiseisai.66.842.This report includes an analysis of the clinical data that was collected on 1 patient.During the review of the literature, it was not possible to establish a specific device detail, patient information, and currently no additional device information is available.It was reported that 1 patient experienced lag screw protrusion and effusion from the skin, which required revision.The report states, ¿although no re-dislocation was observed as of four months after the original dislocation, because there was lag screw protrusion and effusion from the skin was observed, the original lag screw was replaced with a short lag screw.¿.
 
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Brand Name
UNKNOWN GAMMA 3 LAG SCREW
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 Key14680822
MDR Text Key293936666
Report Number0009610622-2022-00252
Device Sequence Number1
Product Code HSB
Combination Product (y/n)N
Reporter Country CodeJA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Literature
Reporter Occupation Physician
Type of Report Initial
Report Date 06/13/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/13/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Catalogue NumberUNK_KIE
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received05/19/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
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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