FDA Adverse Event Death Summary report: N

UNKNOWN T2 PROXIMAL HUMERAL NAIL

MDR report key: 11757195 · Received April 30, 2021

Report

Report Number
0009610622-2021-00462
Event Type
Death
Date Received
April 30, 2021
Date of Event
March 31, 2021
Report Date
April 30, 2021
Manufacturer
STRYKER TRAUMA KIEL
Product Code
HSB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SP
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 PMCF CONDUCTED BY (B)(6) UNIVERSITY HOSPITAL IN (B)(6). THE TITLE OF THIS REPORT IS ¿RETROSPECTIVE DATA COLLECTION OF THE TREATMENT OF HUMERAL FRACTURES WITH THE T2 PROXIMAL HUMERAL NAILING SYSTEM (PHN)¿ WHICH IS ASSOCIATED WITH THE STRYKER ¿T2 PROXIMAL HUMERAL NAILING (PHN)¿ SYSTEM. THIS REPORT INCLUDES RESEARCH DONE ON 96 PATIENTS FROM THE PERIOD JANUARY 2011 TO JULY 2019. 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 DEATH. THE REPORT STATES ONE PATIENT DIED IN THE IMMEDIATE POSTOPERATIVE PERIOD DUE TO PULMONARY THROMBOEMBOLISM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
649915 UNKNOWN T2 PROXIMAL HUMERAL NAIL IMPLANT HSB STRYKER TRAUMA KIEL UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Death