MAUDE Adverse Event Report: STRYKER TRAUMA KIEL ANKLE ARTHRODESIS NAIL, RIGHT T2 ANKLE Ø10X150MM; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES

Model Number	1819-1015S
Medical Device Problem Codes	Break (1069); Fracture (1260)
Health Effect - Clinical Code	Failure of Implant (1924)
Date of Event	10/11/2022
Type of Reportable Event	Serious Injury
Event or Problem Description
It was reported that a t2 ankle nail that was implanted a few weeks prior is now requiring a revision surgery within the next week due to the nail fracturing.The 10x150mm ankle nail used for fracture, was locked with 1 proximal tibial screw and one distal calcaneal screw.Stryker had recommended the use of additional locking screws for extra stability and the addition of an end cap to lock the construct, however stryker advice was not implemented.The patient will be revised with removal of the ankle nail and fusion of the ankle with plating.
Additional Manufacturer Narrative
Based on the available information the device will not be returned therefore an evaluation of the device cannot be performed.Should additional information become available, it will be provided in a supplemental report.
Additional Manufacturer Narrative
The reported event could not be confirmed, since the device was not returned and no additional information provided for evaluation.A device inspection was not possible since the affected device was not returned and no other evidences were provided 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.No indications of material, manufacturing or design related problems were found during the investigation.A review of the labeling did not indicate any abnormalities.More information as well as the affected device must be available in order to determine the exact root cause of the failure.If the device is returned or if any additional information is provided, the investigation will be reassessed.
Event or Problem Description
It was reported that a t2 ankle nail that was implanted a few weeks prior is now requiring a revision surgery within the next week due to the nail fracturing.The 10x150mm ankle nail used for fracture, was locked with 1 proximal tibial screw and one distal calcaneal screw.Stryker had recommended the use of additional locking screws for extra stability and the addition of an end cap to lock the construct, however stryker advice was not implemented.The patient will be revised with removal of the ankle nail and fusion of the ankle with plating.

• Brand Name: ANKLE ARTHRODESIS NAIL, RIGHT T2 ANKLE Ø10X150MM
• Common Device Name: 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 Key: 15923081
• Report Number: 0009610622-2022-00571
• Device Sequence Number: 20138446
• Product Code: HSB
• UDI-Device Identifier: 04546540673374
• UDI-Public: 04546540673374
• Combination Product (Y/N): N
• Initial Reporter Country: AS
• PMA/510(K) Number: K051590
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2022
• Device Explanted Year: 2022
• Reporter Type: Manufacturer
• Report Source: Health Professional
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date (Section B): 02/03/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Operator of Device: Lay User/Patient
• Device Model Number: 1819-1015S
• Device Catalogue Number: 18191015S
• Device Lot Number: K0255E9
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 11/10/2022
• Supplement Date Received by Manufacturer: 01/05/2023
• Initial Report FDA Received Date: 12/06/2022
• Supplement Report FDA Received Date: 02/03/2023
• Was Device Evaluated by Manufacturer? (Y/N): Device Not Returned to Manufacturer
• Date Device Manufactured: 02/11/2022
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Sex: Female