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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER GMBH ASNIS III CANNULATED SCREW, PARTIALLY THREADED D4.0X36MM TL12MM; SCREW, FIXATION, BONE

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STRYKER GMBH ASNIS III CANNULATED SCREW, PARTIALLY THREADED D4.0X36MM TL12MM; SCREW, FIXATION, BONE Back to Search Results
Catalog Number 604636S
Medical Device Problem Code Difficult to Remove (1528)
Health Effect - Clinical Code Foreign Body In Patient (2687)
Date of Event 12/25/2025
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that during the extraction of asnis 4.0, the extraction proved difficult due to the bone quality being favourable.Upon using the extractor, the tip of the extractor broke off.The asinis 4.0 could not be removed and remains implanted in the body.It is noted that fragments remain within the body.The physician believes these fragments can be removed during the attempted re-extraction of the asnis.
 
Additional Manufacturer Narrative
Once the investigation has been completed, any additional information will be reported in a supplemental report.
 
Additional Manufacturer Narrative
The reported event could not be confirmed since the device was not returned for evaluation and no other evidences in relation to the screw 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 during the extraction of asnis 4.0, the extraction proved difficult due to the bone quality being favourable.Upon using the extractor, the tip of the extractor broke off.The asinis 4.0 could not be removed and remains implanted in the body.It is noted that fragments remain within the body.The physician believes these fragments can be removed during the attempted re-extraction of the asnis.
 
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Brand Name
ASNIS III CANNULATED SCREW, PARTIALLY THREADED D4.0X36MM TL12MM
Common Device Name
SCREW, FIXATION, BONE
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 Key24115663
Report Number0008031020-2026-00042
Device Sequence Number5941217
Product Code HWC
UDI-Device Identifier04546540089724
UDI-Public(01)04546540089724(17)330731(10)AC6798
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K220319
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 04/13/2026
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 Number604636S
Device Lot NumberAC6798
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 12/25/2025
Supplement Date Received by Manufacturer03/17/2026
Initial Report FDA Received Date01/20/2026
Supplement Report FDA Received Date04/13/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/22/2023
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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