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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER GMBH GAMMA4 - RC LAG SCREW D10.5X105MM; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES

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STRYKER GMBH GAMMA4 - RC LAG SCREW D10.5X105MM; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES Back to Search Results
Catalog Number 81660105S
Medical Device Problem Codes Positioning Failure (1158); Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/02/2025
Type of Reportable Event Malfunction
Event or Problem Description
As reported: "after the gamma4 implant was inserted, during the final check, it was found that the lag screw was positioned too deep, with its tip reaching the cortical bone of the femoral head, so an attempt was made to correct the position.Once the u-blade was removed and the position of the lag screw was adjusted, it was difficult to reinsert the u-blade, resulting in the blade breaking.The u-blade was removed again, leaving only the main lag screw inside the patient's body.".
 
Additional Manufacturer Narrative
Additional information has been requested and if received, will be provided in the supplemental report.
 
Additional Manufacturer Narrative
The reported event could not be confirmed since the device was not returned for evaluation and no other evidences 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 more information is provided, the case will be reassessed.
 
Event or Problem Description
As reported: "after the gamma4 implant was inserted, during the final check, it was found that the lag screw was positioned too deep, with its tip reaching the cortical bone of the femoral head, so an attempt was made to correct the position.Once the u-blade was removed and the position of the lag screw was adjusted, it was difficult to reinsert the u-blade, resulting in the blade breaking.The u-blade was removed again, leaving only the main lag screw inside the patient's body.".
 
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Brand Name
GAMMA4 - RC LAG SCREW D10.5X105MM
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
dannielle stap
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key23417249
Report Number0008031020-2025-02008
Device Sequence Number15724614
Product Code HSB
UDI-Device Identifier07613327591767
UDI-Public(01)07613327591767(17)341231(10)K0FDA6B
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K230512
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 01/06/2026
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 Number81660105S
Device Lot NumberK0FDA6B
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 10/02/2025
Supplement Date Received by Manufacturer12/11/2025
Initial Report FDA Received Date10/29/2025
Supplement Report FDA Received Date01/06/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured01/31/2025
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 Age72 YR
Patient SexMale
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