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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER GMBH FEMORAL NAIL PF, LEFT T2 ALPHA FEMUR ANTEGRADE Ø11X360MM; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES

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STRYKER GMBH FEMORAL NAIL PF, LEFT T2 ALPHA FEMUR ANTEGRADE Ø11X360MM; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES Back to Search Results
Model Number 2335-1136S
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Unspecified Infection (1930)
Date of Event 04/18/2023
Type of Reportable Event Serious Injury
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.
 
Event or Problem Description
It was reported that the nail was removed due to a postoperative infection.
 
Additional Manufacturer Narrative
Please note the correction to d3.The reported event could not be confirmed, since the device was not returned and no additional information was available.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.A review of the labeling did not indicate any abnormalities.No indications of material, manufacturing or design related problems were found during the investigation.More detailed information about the complaint event as well as the affected device must be available in order to determine the root cause of the complaint event.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 the nail was removed due to a postoperative infection.
 
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Brand Name
FEMORAL NAIL PF, LEFT T2 ALPHA FEMUR ANTEGRADE Ø11X360MM
Common Device Name
ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES
Manufacturer (Section D)
STRYKER GMBH
bohnackerweg 1
postfach
selzach 2545
SZ  2545
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 Key16945065
Report Number0009610622-2023-00156
Device Sequence Number17780800
Product Code HSB
UDI-Device Identifier07613327285543
UDI-Public07613327285543
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K191271
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2023
Device Explanted Year2023
Reporter Type Manufacturer
Report Source Distributor
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 06/19/2023
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? No
Operator of Device Lay User/Patient
Device Model Number2335-1136S
Device Catalogue Number23351136S
Device Lot NumberK04F378
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 04/20/2023
Supplement Date Received by Manufacturer05/23/2023
Initial Report FDA Received Date05/17/2023
Supplement Report FDA Received Date06/19/2023
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Date Device Manufactured01/07/2020
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 Number1
Outcome Attributed to Adverse Event Required Intervention;
Patient SexUnknown
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