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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER SPINE-US MANTIS REDUX BLOCKER; THORACOLUMBOSACRAL PEDICLE SCREW SYSTEM

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STRYKER SPINE-US MANTIS REDUX BLOCKER; THORACOLUMBOSACRAL PEDICLE SCREW SYSTEM Back to Search Results
Catalog Number 48289999
Medical Device Problem Code Migration (4003)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 10/02/2025
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that a patient underwent revision surgery to address eight migrated xia blockers.This report captures the fifth of eight blockers.
 
Event or Problem Description
No new information.
 
Additional Manufacturer Narrative
Corrected data: g1.H6 coding has been updated to reflect completion of the investigation.
 
Additional Manufacturer Narrative
Corrected data: b5, d1, d4, g4.
 
Event or Problem Description
It was reported that a patient underwent revision surgery to address eight migrated mantis redux blockers.
 
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Brand Name
MANTIS REDUX BLOCKER
Common Device Name
THORACOLUMBOSACRAL PEDICLE SCREW SYSTEM
Manufacturer (Section D)
STRYKER SPINE-US
2 pearl court
allendale NJ 07401
Manufacturer (Section G)
STRYKER SPINE-FRANCE
zone industrielle de marticot
cestas 33610
FR   33610
Manufacturer Contact
catherine devarenne
2 pearl court
allendale, NJ 07401
2017608000
MDR Report Key23487236
Report Number0009617544-2025-00091
Device Sequence Number10526878
Product Code NKB
UDI-Device Identifier04546540560193
UDI-Public(01)04546540560193(11)250210(10)LW5
Combination Product (Y/N)N
Initial Reporter CountryEI
PMA/510(K) Number
K092631
Number of Events Summarized1
Summary Report (Y/N)N
Device Explanted Year2025
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Distributor
Initial Reporter Occupation Other
Type of Report Initial,Followup,Followup
Report Date (Section B) 03/02/2026
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 Number48289999
Device Lot NumberLW5
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 10/07/2025
Supplement Date Received by Manufacturer02/05/2026
02/05/2026
Initial Report FDA Received Date11/06/2025
Supplement Report FDA Received Date02/26/2026
03/02/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured02/10/2025
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
Outcome Attributed to Adverse Event Required Intervention;
Patient SexUnknown
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