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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER GMBH GUIDE WIRE HANDLE IMN INSTRUMENTS; ORTHOPEDIC MANUAL SURGICAL INSTRUMENT

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STRYKER GMBH GUIDE WIRE HANDLE IMN INSTRUMENTS; ORTHOPEDIC MANUAL SURGICAL INSTRUMENT Back to Search Results
Catalog Number 23510030
Medical Device Problem Codes Break (1069); Fracture (1260)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 10/14/2024
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: "broken instrument." no additional information was provided.
 
Additional Manufacturer Narrative
Correction: please refer to section d9 the device was not returned.The reported event could not be confirmed as device was not returned and no other evidence were provided.A review of the device history was not possible because the lot number was not communicated.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 any additional information is provided, the investigation will be reassessed.
 
Event or Problem Description
As reported: "broken instrument." no additional information was provided.
 
Additional Manufacturer Narrative
Corrections: please refer to section d9/h3 the device was returned and h6 (methods, results and conclusion codes).The reported event could be confirmed as device was returned and matches to the alleged event.The returned guidewire handle was visually inspected, revealing that it is broken at the assembly section of the adjustment wheel.A close examination of the breakage surface indicates that the break is brittle, as we don¿t see any plastic deformation, which may have been caused by the application of high torsional force during the wheel assembly, as the adjustment wheel is stuck in the broken fragment.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 above investigation root cause can be pertained to user related as the breakage happened at the assembly section of adjustment wheel indicating to application of high torsional force.If any additional information is provided, the investigation will be reassessed.
 
Event or Problem Description
As reported: "broken instrument." no additional information was provided.
 
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Brand Name
GUIDE WIRE HANDLE IMN INSTRUMENTS
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
cécile lefeuvre
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key20665418
Report Number0009610622-2024-00908
Device Sequence Number20958027
Product Code LXH
UDI-Device Identifier07613327361674
UDI-Public07613327361674
Combination Product (Y/N)N
Initial Reporter CountryUK
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup,Followup
Report Date (Section B) 06/30/2025
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 Number23510030
Device Lot NumberKME920046
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 10/14/2024
Supplement Date Received by Manufacturer12/05/2024
06/05/2025
Initial Report FDA Received Date11/12/2024
Supplement Report FDA Received Date12/20/2024
06/30/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured03/20/2024
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 SexUnknown
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