MAUDE Adverse Event Report: STRYKER GMBH TARGETING ARM T2; ORTHOPEDIC MANUAL SURGICAL INSTRUMENT

Catalog Number	18061008
Medical Device Problem Code	Failure to Align (2522)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	07/17/2024
Type of Reportable Event	Serious Injury
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 : ''"18-year-old patient admitted to the emergency room following a high-kinetic"avp" from his scooter without a helmet.During the operation, a t2 femoral nail was inserted using a nail-holder from a die thrower, which malfunctioned when the drill bit was inserted in order to fit the proximal synchro list.This was not in front of the hole.When inserting the nail, the nail-holder shifted.After several attempts at insertion, the bit broke.".
Additional Manufacturer Narrative
Correction - please refer to d9 - the device was not returned for evaluation.The reported event could not be confirmed since the device was not returned for evaluation and no other evidence were provided.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
As reported: ''"18-year-old patient admitted to the emergency room following a high-kinetic"avp" from his scooter without a helmet.During the operation, a t2 femoral nail was inserted using a nail-holder from a die thrower, which malfunctioned when the drill bit was inserted in order to fit the proximal synchro list.This was not in front of the hole.When inserting the nail, the nail-holder shifted.After several attempts at insertion, the bit broke.".

• Brand Name: TARGETING ARM T2
• Common Device Name: ORTHOPEDIC MANUAL SURGICAL INSTRUMENT
• 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: 19961737
• Report Number: 0009610622-2024-00786
• Device Sequence Number: 20617236
• Product Code: LXH
• UDI-Device Identifier: 04546540196576
• UDI-Public: 04546540196576
• Combination Product (Y/N): N
• Initial Reporter Country: FR
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Other
• Initial Reporter Occupation: Physician Assistant
• Type of Report: Initial,Followup
• Report Date (Section B): 11/20/2024

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?: Yes
• Operator of Device: Health Professional
• Device Catalogue Number: 18061008
• Device Lot Number: KME903255
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Follow-Up
• Initial Date Received by Manufacturer: 07/17/2024
• Supplement Date Received by Manufacturer: 10/22/2024
• Initial Report FDA Received Date: 08/12/2024
• Supplement Report FDA Received Date: 11/20/2024
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 02/16/2011
• 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 Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Age: 18 YR
• Patient Sex: Unknown