MAUDE Adverse Event Report: STRYKER GMBH LAG SCREW, TI GAMMA3 Ø10.5X95MM; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES

Catalog Number	30600095S
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Implant Pain (4561)
Date of Event	03/22/2022
Type of Reportable Event	Serious Injury
Event or Problem Description
The present swiss trauma fracture registry (swtr) is a prospective, multi-center, observational study to collect data on all stryker trauma and extremities products with the aim to add to the existing clinical evidence to support the safety and performance of stryker implants for the approved indications for use.The swtr captures data evaluating the real-world usage of stryker implants at trauma centers with the capacity, training, and experience to gather clinically relevant standard of care safety and performance endpoint data.During the review of the report, persistent pain was noted for this patient during the follow-up visit.
Additional Manufacturer Narrative
The reported event that the patient had persistent pain could not be confirmed, since the device was not returned for evaluation and no other additional information was received from the swiss trauma fracture registry.More detailed information about the patient's medical history, the event details and the involved device(s) must be available to determine the root cause.     if any additional information becomes available, the investigation will be reopened and re-evaluated accordingly.  please note, that reports received from the swiss trauma fracture registry are not published reports and therefore web link is not available.

• Brand Name: LAG SCREW, TI GAMMA3 Ø10.5X95MM
• 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 Key: 19938370
• Report Number: 0009610622-2024-00741
• Device Sequence Number: 11980817
• Product Code: HSB
• UDI-Device Identifier: 04546540374936
• UDI-Public: 04546540374936
• Combination Product (Y/N): N
• Initial Reporter Country: SZ
• PMA/510(K) Number: K200869
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Health Professional
• Initial Reporter Occupation: Physician
• Type of Report: Initial
• Report Date (Section B): 08/08/2024

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 Catalogue Number: 30600095S
• Device Lot Number: UNKNOWN
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 07/12/2024
• Initial Report FDA Received Date: 08/08/2024
• Was Device Evaluated by Manufacturer? (Y/N): No
• 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: Other
• Patient Sex: Unknown