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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH DISTAL FEMORAL GROWING PROSTHESIS RIGHT 200MM; KNEE JOINT FEMOROTIBIAL METAL/POLYMER CONSTRAINED CEMENTED PROSTHESIS.

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STRYKER ORTHOPAEDICS-MAHWAH DISTAL FEMORAL GROWING PROSTHESIS RIGHT 200MM; KNEE JOINT FEMOROTIBIAL METAL/POLYMER CONSTRAINED CEMENTED PROSTHESIS. Back to Search Results
Catalog Number 6497-1-600
Device Problems Mechanical Problem (1384); Mechanical Jam (2983); Adverse Event Without Identified Device or Use Problem (2993)
Patient Problem Ambulation Difficulties (2544)
Event Date 09/26/2017
Event Type  malfunction  
Manufacturer Narrative
A supplemental report will be submitted upon completion of the investigation.Remains implanted.
 
Event Description
It was reported that surgeon was performing a limb-lengthening on the gmrs knee system in patient's right knee.Rep reported there were issues with the smaller 2mm locking screwdriver to unlock the prosthesis.Surgeon attempted to turn the bigger knob to lengthen the patient's leg - the knob turned 1 full turn and locked.As reported by rep: "the locking knob wasn't biting with the driver." the surgeon returned the prosthesis to the baseline state and ended the procedure.Rep reported that the patient will suffer a leg length discrepancy until a solution can be found.The screwdrivers are available for return to stryker, the prosthesis remains implanted in the patient.
 
Manufacturer Narrative
An event regarding limb length discrepancy involving a distal femoral growing prosthesis right was reported.It was reported that the locking knob wasn't biting with the driver.Based on the provided information, the reported device in this investigation did not contribute to the event.No allegations were made against the distal femoral growing prosthesis therefore it is considered as concomitant.No further investigation is required at this time.If additional information becomes available to indicate further evaluation is warranted, this record will be reopened.
 
Event Description
It was reported that surgeon was performing a limb-lengthening on the gmrs knee system in patient's right knee.Rep reported there were issues with the smaller 2mm locking screwdriver to unlock the prosthesis.Surgeon attempted to turn the bigger knob to lengthen the patient's leg - the knob turned 1 full turn and locked.As reported by rep: "the locking knob wasn't biting with the driver." the surgeon returned the prosthesis to the baseline state and ended the procedure.Rep reported that the patient will suffer a leg length discrepancy until a solution can be found.The screwdrivers are available for return to stryker, the prosthesis remains implanted in the patient.
 
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Brand Name
DISTAL FEMORAL GROWING PROSTHESIS RIGHT 200MM
Type of Device
KNEE JOINT FEMOROTIBIAL METAL/POLYMER CONSTRAINED CEMENTED PROSTHESIS.
Manufacturer (Section D)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer (Section G)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer Contact
brian lauro
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key6973888
MDR Text Key90108995
Report Number0002249697-2017-03092
Device Sequence Number1
Product Code KRO
UDI-Device Identifier07613327142631
UDI-Public07613327142631
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K122015
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional,other
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 12/01/2017
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
Device Operator Health Professional
Device Expiration Date07/06/2021
Device Catalogue Number6497-1-600
Device Lot NumberK09E301
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 09/26/2017
Initial Date FDA Received10/24/2017
Supplement Dates Manufacturer Received11/02/2017
Supplement Dates FDA Received12/01/2017
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured07/06/2016
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Other;
Patient Age12 YR
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