FDA Adverse Event Injury Summary report: N

UNKNOWN SHORT GAMMA3 NAIL

MDR report key: 10417709 · Received August 17, 2020

Report

Report Number
0009610622-2020-00472
Event Type
Injury
Date Received
August 17, 2020
Date of Event
May 23, 2016
Report Date
August 17, 2020
Manufacturer
STRYKER TRAUMA KIEL
Product Code
HSB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE REPORTED EVENT COULD NOT BE CONFIRMED, SINCE THE DEVICE WAS NOT RETURNED FOR EVALUATION AND NO OTHER ADDITIONAL INFORMATION IS AVAILABLE. MORE DETAILED INFORMATION ABOUT THE COMPLAINT EVENT AS WELL AS THE AFFECTED DEVICE MUST BE AVAILABLE IN ORDER TO DETERMINE THE ROOT CAUSE OF THE COMPLAINT EVENT. THE DEVICE HISTORY RECORD COULD NOT BE REVIEWED BECAUSE THE AFFECTED LOT NUMBER WAS NOT COMMUNICATED. IF ANY FURTHER INFORMATION IS PROVIDED, THE INVESTIGATION REPORT WILL BE UPDATED. DEVICE DISPOSITION IS UNKNOWN.

Description of Event or Problem · 1

THE MANUFACTURER BECAME AWARE OF A LITERATURE PUBLISHED BY MAASTRICHT UNIVERSITY MEDICAL CENTER, IN NETHERLANDS. THE TITLE OF THIS REPORT IS ¿LATE OCCURRING MEDIAL MIGRATION OF A LAG SCREW IN GAMMA NAILING¿ WHICH IS ASSOCIATED WITH THE STRYKER ¿GAMMA3 NAILING¿ PROSTHESIS SYSTEM. THE ARTICLE CAN BE FOUND AT HTTP://DX.DOI.ORG/10.1155/2016/5201674. WITHIN THAT PUBLICATION WHICH INCLUDED SINGLE PATIENT, POST-OPERATIVE COMPLICATIONS WERE REPORTED. IT WAS NOT POSSIBLE TO ASCERTAIN SPECIFIC DEVICE DETAILS OR PATIENT INFORMATION FROM THE REPORT, OR TO MATCH THE EVENTS REPORTED WITH PREVIOUSLY REPORTED COMPLAINTS. THEREFORE, NEW COMPLAINTS WERE INITIATED IN THE SYSTEM FOR THE POST-OPERATIVE COMPLICATIONS MENTIONED IN THE REPORT. THIS PRODUCT INQUIRY ADDRESSES ACUTE PAIN AND INABILITY TO WALK FOR 2 DAYS WITH MEDIAL MIGRATION OF THE LAG SCREW WHICH WAS TREATED BY REMOVAL OF GAMMA NAIL AND REPLACEMENT BY A CEMENTED TOTAL HIP ARTHROPLASTY. THE REPORT STATES: ¿UNFORTUNATELY, THREE MONTHS AFTER THE OPERATION THE PATIENT PRESENTED HERSELF AGAIN IN THE ED WITH ACUTE PAIN IN HER LEFT HIP FOR 2 DAYS AND AN INABILITY TO WALK. THERE WAS NO PRECEDING TRAUMA AND THERE WERE NO SIGNS OF AN INFECTION. THE X-RAY IN THE ED SHOWED MEDIAL MIGRATION OF THE LAG SCREW (FIGURE 5). IT WAS DECIDED TO REMOVE THE GAMMA NAIL AND REPLACE IT BY A CEMENTED TOTAL HIP ARTHROPLASTY (EXETER STEM, RIMFIT CUP, STRYKER) DURING THE SAME SESSION. INTRAOPERATIVELY, THE FRACTURE APPEARED CONSOLIDATED AND THERE WERE NO SIGNS OF INFECTION.¿

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
878295 UNKNOWN SHORT GAMMA3 NAIL IMPLANT HSB STRYKER TRAUMA KIEL UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 81 Required Intervention