| Brand Name | AXSOS 3 DISTAL LATERAL FEMUR PLATE FOR LEFT FEMUR 18 HOLE / L379MM |
| Common Device Name | Plate, 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
|
|
+1(201)831-5000
|
|
| MDR Report Key | 25689986 |
| Report Number | 0008031020-2026-00812 |
| Device Sequence Number | 15815830 |
| Product Code |
HRS
|
| UDI-Device Identifier | 04546540713155 |
| UDI-Public | (01)04546540713155(17)290630(10)AG5711 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K222381 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Explanted Year | 2026 |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/16/2026 |
| 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 Number | 627618S |
| Device Lot Number | AG5711 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 07/14/2026 |
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Initial |
| Initial Date Received by Manufacturer | 06/03/2026 |
| Supplement Date Received by Manufacturer | 08/20/2026
|
| Initial Report FDA Received Date | 07/02/2026 |
| Supplement Report FDA Received Date | 09/16/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 07/06/2024 |
| 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 Number | 1 |
| Outcome Attributed to Adverse Event |
Required Intervention;
|
| Patient Sex | Unknown |
|
|