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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER GMBH GAMMA4 - RC LAG SCREW D10.5X90MM; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES

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STRYKER GMBH GAMMA4 - RC LAG SCREW D10.5X90MM; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES Back to Search Results
Catalog Number 81660090S
Medical Device Problem Code Deformation Due to Compressive Stress (2889)
Health Effect - Clinical Code Perforation (2001)
Date of Event 11/14/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Once the investigation is completed, any additional information will be reported in a supplemental report.
 
Event or Problem Description
It was reported that, due to the cutout, an extraction order was issued.Upon arriving to witness the extraction, the blade was found bent.It was reported that, the nail was left in patient and distal lateral fastener in place, only the rc lag screw and u-blade end cap were removed.The bent blade was confirmed during removal.It was unclear when it bent.No further information was provided.
 
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 the device is returned or if any additional information is provided, the investigation will be reassessed.
 
Event or Problem Description
It was reported that, due to the cutout, an extraction order was issued.Upon arriving to witness the extraction, the blade was found bent.It was reported that, the nail was left in patient and distal lateral fastener in place, only the rc lag screw and u-blade end cap were removed.The bent blade was confirmed during removal.It was unclear when it bent.No further information was provided.
 
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Brand Name
GAMMA4 - RC LAG SCREW D10.5X90MM
Common Device Name
ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES
Manufacturer (Section D)
STRYKER GMBH
bohnackerweg 1
postfach
selzach 2545
SZ  2545
Manufacturer (Section G)
STRYKER GMBH
bohnackerweg 1
postfach
selzach 2545
SZ   2545
Manufacturer Contact
dannielle stap
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key23830648
Report Number0009610622-2025-00019
Device Sequence Number13080878
Product Code HSB
UDI-Device Identifier07613327591804
UDI-Public(01)07613327591804(17)350630(10)K139A46
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K230512
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Device Explanted Year2025
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 02/03/2026
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? No
Operator of Device Lay User/Patient
Device Catalogue Number81660090S
Device Lot NumberK139
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 11/19/2025
Supplement Date Received by Manufacturer01/07/2026
Initial Report FDA Received Date12/17/2025
Supplement Report FDA Received Date02/03/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured07/23/2025
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 Age86 YR
Patient SexFemale
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