MAUDE Adverse Event Report: STRYKER LEIBINGER FREIBURG UN3 SCREWS, SELF-DRILLING, 1.5X4MM, 5/P; IMPLANT

Catalog Number	56-15904
Health Effect - Clinical Code	No Known Impact Or Consequence To Patient (2692)
Date of Event	03/01/2019
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Device is not available for evaluation.If additional information is received it will be reported on a supplemental report.Device not returned.
Event or Problem Description
It was reported by the distributor that during a hydrocephalus procedure, the surgeon had difficulties purchasing the bone with the screw, and the screw slipped.No adverse consequences were reported.
Additional Manufacturer Narrative
The reported device was not returned for evaluation, thus the reported event could not be confirmed.As a result of the reported event, it has been mentioned that ¿additional expenses for patient to pay for additional screws, including the one that did not work.¿ additional information has been requested in order to provide more details to the reported event.In a follow-up email, it has been mentioned that blades 62-15030 and 62-15032 were used during the procedure.These blades are appropriate to be used with the reported screw.No pre-drilling has been performed.However, in the instructions for use (ifu#: 90-02011, rev.12), it has been mentioned that, if it is difficult for self-drilling screws to start or insert into the bone, pilot holes should be drilled.The sales rep also mentioned that there was a surgical delay of 10-15 minutes.Further, the review of the related dhr of the device in question has shown that it was manufactured to specification and has been accepted in final stock without any reported discrepancies.Possible root causes according to the related risk management file are: insufficient handling properties with gloves (inappropriate handling).Too less implant-instrument connection (too less axial force during screw pick-up; use of damaged screw driver blade).Too high forces during implantation (too less implant-instrument connection).Too less fixation of implant to bone.Insufficient bone-quality/quantity.Implant damage/breakage due to compromised mechanical strength of implant/instrument (inappropriate handling).Excessive force on bone (wrong handling).Based on statistical evaluation there are no indications for any systematic design, material or manufacturing related issue.Therefore, no corrective and/or preventive actions are deemed necessary at this time.The complaint is added to the complaint trend.
Event or Problem Description
It was reported by the distributor that during a hydrocephalus procedure, the surgeon had difficulties purchasing the bone with the screw, and the screw slipped.No adverse consequences were reported.

• Brand Name: UN3 SCREWS, SELF-DRILLING, 1.5X4MM, 5/P
• Common Device Name: IMPLANT
• Manufacturer (Section D): STRYKER LEIBINGER FREIBURG; boetzingerstr. 41; freiburg D-791 11
• MDR Report Key: 8666258
• Report Number: 0008010177-2019-00026
• Device Sequence Number: 16731707
• Product Code: HBW
• UDI-Device Identifier: 34546540684920
• UDI-Public: 34546540684920
• Combination Product (Y/N): N
• Initial Reporter Country: TH
• PMA/510(K) Number: K112557
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: distributor
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date (Section B): 11/08/2019

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 Number: 56-15904
• Device Lot Number: 1000297274
• Was Device Available for Evaluation?: No
• Initial Date Received by Manufacturer: 05/10/2019
• Supplement Date Received by Manufacturer: 05/10/2019
• Initial Report FDA Received Date: 06/04/2019
• Supplement Report FDA Received Date: 11/08/2019
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1