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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER SPINE-US XIA 3 ROD DIAM 6MM CP TI L 480MM; THORACOLUMBOSACRAL PEDICLE SCREW SYSTEM

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STRYKER SPINE-US XIA 3 ROD DIAM 6MM CP TI L 480MM; THORACOLUMBOSACRAL PEDICLE SCREW SYSTEM Back to Search Results
Catalog Number 48232480
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code Back pain (4895)
Date of Event 02/01/2026
Type of Reportable Event Serious Injury
Event or Problem Description
A health professional reported that a patient fell down on the street approximately two years and four monthly post-operatively and felt a "crunch" and severe pain in their spine.Imaging indicated that two xia 3 rods fractured.It was further reported that revision surgery has been recommended, however it is unknown if a revision surgery has been scheduled or performed at this time.This report captures the first of two rods.
 
Event or Problem Description
Additional imaging provided from the field indicated that three rods fractured.This report captures the first of three rods.
 
Additional Manufacturer Narrative
Additional data: b5, d1, d4, g4.H6 coding has been updated to reflect completion of the investigation.
 
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Brand Name
XIA 3 ROD DIAM 6MM CP TI L 480MM
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 Key24877573
Report Number0009617544-2026-00068
Device Sequence Number10020294
Product Code NKB
UDI-Device Identifier04546540560575
UDI-Public04546540560575
Combination Product (Y/N)N
Initial Reporter CountryRS
PMA/510(K) Number
K142381
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2022
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 06/12/2026
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 Number48232480
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/26/2026
Supplement Date Received by Manufacturer05/22/2026
Initial Report FDA Received Date04/14/2026
Supplement Report FDA Received Date06/11/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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 SexUnknown
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