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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP 11G X 20MM OMNICURVE FRACTURE KIT; ARTHROSCOPE

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP 11G X 20MM OMNICURVE FRACTURE KIT; ARTHROSCOPE Back to Search Results
Catalog Number 1032-120-000
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/21/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the introducer broke when the doctor was torquing the handle.There was no medical intervention, no adverse consequences and no clinically significant surgical delay.The procedure was completed successfully.
 
Event or Problem Description
No new information.
 
Additional Manufacturer Narrative
The device was not returned for evaluation; therefore, a root cause could not be determined for the event.
 
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Brand Name
11G X 20MM OMNICURVE FRACTURE KIT
Common Device Name
ARTHROSCOPE
Manufacturer (Section D)
STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP
1941 stryker way
portage MI 49002
Manufacturer (Section G)
STRYKER INSTRUMENTS-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
Manufacturer Contact
kelsey barla
1941 stryker way
portage, MI 49002
2693237700
MDR Report Key22849186
Report Number3015967359-2025-01394
Device Sequence Number8457769
Product Code HRX
UDI-Device Identifier07613327554663
UDI-Public(01)07613327554663(17)260131(10)10537141
Combination Product (Y/N)N
Initial Reporter StateNY
Initial Reporter CountryUS
PMA/510(K) Number
K162062
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
Report Date (Section B) 02/16/2026
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 Number1032-120-000
Device Lot Number10537141
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 07/23/2025
Supplement Date Received by Manufacturer01/23/2026
Initial Report FDA Received Date08/20/2025
Supplement Report FDA Received Date02/16/2026
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 Number1
Patient SexUnknown
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