• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER TRAUMA KIEL IM REAMER, MOD. TRINKLE FITTING BIXCUT Ø10,0X480MM; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/CERAMIC/POLYMER, CEMENTED OR NON-POROUS

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

STRYKER TRAUMA KIEL IM REAMER, MOD. TRINKLE FITTING BIXCUT Ø10,0X480MM; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/CERAMIC/POLYMER, CEMENTED OR NON-POROUS Back to Search Results
Model Number 0227-6100
Device Problems Break (1069); Fracture (1260)
Patient Problems Insufficient Information (4580); No Clinical Signs, Symptoms or Conditions (4582)
Event Date 06/02/2022
Event Type  malfunction  
Manufacturer Narrative
Once the investigation has been completed any additional information will be reported in a supplemental report.
 
Event Description
It was reported that im reamers broke during use.
 
Manufacturer Narrative
Correction: please refer to h6 clinical code, h6 health impact code.The reported event could be confirmed, since the device returned and matches the reported failure mode.The device inspection revealed the following: the im reamer was received in which the distal end of the reamer started to unwind which can be due to the movement of the reamer in the counterclockwise direction.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.No indications of material, manufacturing or design-related problems were found during the investigation.Based on the investigation the root cause was attributed to a user related issue.The failure was caused due to improper usage of the reamer as it was operated in an anti-clockwise manner which is an off-label use if the device is returned or if any additional information is provided, the investigation will be reassessed.
 
Event Description
It was reported that im reamers broke during use.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
IM REAMER, MOD. TRINKLE FITTING BIXCUT Ø10,0X480MM
Type of Device
PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/CERAMIC/POLYMER, CEMENTED OR NON-POROUS
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 Key15113984
MDR Text Key302591829
Report Number0009610622-2022-00346
Device Sequence Number1
Product Code MAY
UDI-Device Identifier04546540145840
UDI-Public04546540145840
Combination Product (y/n)N
Reporter Country CodeUK
PMA/PMN Number
K153345
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Company Representative
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 09/19/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/27/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number0227-6100
Device Catalogue Number02276100
Device Lot NumberK0E42F4
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/13/2022
Is the Reporter a Health Professional? No
Date Manufacturer Received08/23/2022
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured02/04/2020
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
-
-