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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER SPINE-US ES2 INTEGRATED BLADE SCREW SIZE S 6.5X40MM; THORACOLUMBOSACRAL PEDICLE SCREW SYSTEM

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STRYKER SPINE-US ES2 INTEGRATED BLADE SCREW SIZE S 6.5X40MM; THORACOLUMBOSACRAL PEDICLE SCREW SYSTEM Back to Search Results
Catalog Number 482802640
Medical Device Problem Codes Fracture (1260); Device Dislodged or Dislocated (2923)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/09/2026
Type of Reportable Event Malfunction
Event or Problem Description
A health professional reported that the tulip of an es2 integrated blade screw disengaged intra-operatively.The procedure was completed successfully with no surgical delay and no adverse consequence to the patient.
 
Event or Problem Description
Upon inspection of the returned device, it was observed that a tab of the screw was fractured and that the tulip of the screw was still intact.
 
Additional Manufacturer Narrative
Corrected data: b5.Additional data: d9, h3.Upon inspection of the returned device, it was observed that a tab of the screw was fractured and that the tulip of the screw was still intact.An updated review of the event information and risk documentation regarding this event does not suggest a recurrence of this event could result in a death or serious injury.Therefore, this event is no longer reportable to the fda.
 
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Brand Name
ES2 INTEGRATED BLADE SCREW SIZE S 6.5X40MM
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 Key24281724
Report Number0009617544-2026-00005
Device Sequence Number9963169
Product Code NKB
UDI-Device Identifier07613327001938
UDI-Public(01)07613327001938(11)250911(10)257970
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K122845
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 02/13/2026
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 Number482802640
Device Lot Number257970
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 01/09/2026
Supplement Date Received by Manufacturer02/05/2026
Initial Report FDA Received Date02/06/2026
Supplement Report FDA Received Date02/13/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/11/2025
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 Age75 YR
Patient SexMale
Patient Weight60 KG
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