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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER GMBH STRAIGHT REDUCTION CLAMP, BROAD VARIAX2

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STRYKER GMBH STRAIGHT REDUCTION CLAMP, BROAD VARIAX2 Back to Search Results
Catalog Number 705297
Medical Device Problem Codes Break (1069); Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/20/2023
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Once the investigation has been completed any additional information will be reported in a supplemental report.
 
Event or Problem Description
As reported: "the instrument could not resist the force to reduce the bone and broke.".
 
Additional Manufacturer Narrative
Please note correction to d4 (lot/serial no.).The reported event could be confirmed since the device was returned and matches the alleged failure.The device inspection revealed the following: the received reduction clamp was visually checked, and one of the tip of reduction clamp found completely broken off.Also, severe rubbing marks of usage clearly visible in the proximal areas of tip.The breakage of the tip shows the characteristics of a brittle failure with smooth surface and without any plastic deformation suggesting that the portion being subjected to excess stress leading to sudden breakage of the component.Furthermore, a hardness test according to rockwell on the returned item indicates the material being in accordance with the values in the material specification.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 investigation, the root cause was attributed to be a user related issue as the breakage was caused due to the application of excess stress leading to sudden breakage.If more information is provided, the case will be reassessed.
 
Event or Problem Description
As reported: "the instrument could not resist the force to reduce the bone and broke.".
 
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Brand Name
STRAIGHT REDUCTION CLAMP, BROAD VARIAX2
Common Device Name
CLAMP
Manufacturer (Section D)
STRYKER GMBH
bohnackerweg 1
postfach
selzach 2545
SZ  2545
Manufacturer (Section G)
STRYKER GMBH
bohnackerweg 1
postfach
selzach 2545
SZ   2545
Manufacturer Contact
anna jusinski
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key18691823
Report Number0008031020-2024-00088
Device Sequence Number17910033
Product Code HXD
UDI-Device Identifier07613327125252
UDI-Public07613327125252
Combination Product (Y/N)N
Initial Reporter CountryBR
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Distributor
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 04/29/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue Number705297
Device Lot NumberL28858
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 01/17/2024
Supplement Date Received by Manufacturer04/04/2024
Initial Report FDA Received Date02/12/2024
Supplement Report FDA Received Date04/29/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/14/2018
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexMale
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