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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER GMBH SCALED DRILL Ø2.5MM, AO FITTING; ORTHOPEDIC MANUAL SURGICAL INSTRUMENT

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STRYKER GMBH SCALED DRILL Ø2.5MM, AO FITTING; ORTHOPEDIC MANUAL SURGICAL INSTRUMENT Back to Search Results
Catalog Number 703966
Medical Device Problem Codes Break (1069); Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/16/2024
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: "drilling was performed using the usual technique.Image check before screw insertion revealed that the drill tip remained in the body.The broken drill tip was safely removed and the surgery was completed successfully.".
 
Additional Manufacturer Narrative
The reported event could be confirmed, since the device was returned, and matches the alleged failure.The received scaled drill was visually inspected; we can see that the breakage happened at the proximal end of the drill.The breakage surface indicates a brittle fracture.The nature of the breakage of the drill indicates towards application of bending overload during drilling we can also see slight deformation along the cutting flutes 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 the investigation, the root cause was user-related as the breakage was caused by excessive bending and axial overload.If more information is provided, the case will be reassessed.
 
Event or Problem Description
As reported: "drilling was performed using the usual technique.Image check before screw insertion revealed that the drill tip remained in the body.The broken drill tip was safely removed and the surgery was completed successfully.".
 
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Brand Name
SCALED DRILL Ø2.5MM, AO FITTING
Common Device Name
ORTHOPEDIC MANUAL SURGICAL INSTRUMENT
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 Key19264351
Report Number0008031020-2024-00214
Device Sequence Number6492862
Product Code LXH
UDI-Device Identifier07613252719861
UDI-Public07613252719861
Combination Product (Y/N)N
Initial Reporter CountryJA
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 06/18/2024
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 Number703966
Device Lot NumberKU116932
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer04/30/2024
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 04/16/2024
Supplement Date Received by Manufacturer05/23/2024
Initial Report FDA Received Date05/07/2024
Supplement Report FDA Received Date06/18/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured01/06/2020
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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