FDA Adverse Event Injury Summary report: N

UNKNOWN STAR ANKLE

MDR report key: 12478319 · Received September 15, 2021

Report

Report Number
0008031020-2021-00414
Event Type
Injury
Date Received
September 15, 2021
Date of Event
June 23, 2021
Report Date
December 29, 2021
Manufacturer
STRYKER GMBH
Product Code
NTG
PMA / PMN Number
P050050
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

PLEASE NOTE CORRECTION TO B1 AND H6 DEVICE AND CLINICAL SIGNS CODES. THE REPORTED EVENT COULD NOT BE CONFIRMED SINCE THE DEVICE WAS NOT RETURNED FOR EVALUATION AND NO OTHER EVIDENCE WAS PROVIDED. MORE DETAILED INFORMATION ABOUT THE COMPLAINT EVENT SUCH AS X-RAYS AS WELL AS THE AFFECTED DEVICE MUST BE AVAILABLE IN ORDER TO DETERMINE THE ROOT CAUSE OF THE COMPLAINT EVENT. A REVIEW OF THE DEVICE HISTORY WAS NOT POSSIBLE BECAUSE THE LOT NUMBER WAS NOT COMMUNICATED. NO CORRECTIVE ACTIONS ARE REQUIRED AT THIS TIME. A REVIEW OF THE LABELING DID NOT INDICATE ANY ABNORMALITIES. NO INDICATIONS OF MATERIAL, MANUFACTURING OR DESIGN RELATED PROBLEMS WERE FOUND DURING THE INVESTIGATION. IF THE DEVICE IS RETURNED OR IF ANY ADDITIONAL INFORMATION IS PROVIDED, THE INVESTIGATION WILL BE REASSESSED.

Description of Event or Problem · 0

A PATIENT REPORTED VIA MEDWATCH MW5102775 THE FOLLOWING COMPLAINT: "PREAMBLE I'M A MAN IN GOOD HEALTH. ABOUT 20 POUNDS HEAVY FROM MY BEST WEIGHT. I'M 5'11" LBS. ABOUT 15 YEARS AGO I SLIPPED ON ICE AND BROKE OFF ABOUT A THUMB SIZE PIECE OF THE BOTTOM OF MY FIBULA IN MY RIGHT LEG. AT THAT TIME IT WAS PUT BACK IN PLACE AND RIGID PERFORATED METAL STRIP WITH 6 SCREWS WAS PUT IN TO HOLD IT TOGETHER AND IN PLACE. OVER THE YEARS MY ANKLE AND FOOT STARTED HURTING. IN 2017 I HAD BONE FUSION SURGERY FOR ARTHRITIS AND A LOW ARCH. I THINK IT INVOLVED PLATES AND CREWS FOR MY NAVICULAR, MY CUNEIFORM AND MY BIG TOE FIRST METATARSAL. AT THAT TIME I ALSO HAD MY TWO PERONEAL TENDONS SEWN TOGETHER BECAUSE ONE OF THEM WAS NEARLY TORN THROUGH. ALSO, SHE REMOVED THE METAL STRIP AND SCREWS FROM MY TIBIA. IN 2020 SHE DID MY FOOT ARTHRITIS SURGERY DONE AGAIN, BECAUSE IT WAS HURTING MORE AND MORE AND SHE SAID THE FUSION DIDN'T QUITE TAKE TOGETHER LIKE IT SHOULD HAVE, SHE TOOK BONE FROM MY HIP AND NOW THAT PART OF MY FOOT FEELS GREAT. I HAD ALL OF THIS DONE AT (B)(6). THEN SHE (FOOT SURGEON) TOLD ME THE ARTHRITIS PAIN IN AND AT MY ANKLE CALLED FOR A PROSTHETIC ANKLE AND SHE DIDN'T DO THAT TYPE OF WORK. SHE REFERRED ME TO HOSPITAL ON. PROBLEM I GOT A STAR PROSTHETICS REPLACEMENT ANKLE THERE ON 2020 AND IT WENT WELL WITH NO PROBLEM WITH MY ANKLE, MY FOOT STILL HURT HELL JUST IN FRONT OF MY ANKLE. I GOT A TALONAVICULAR FUSION ON THAT SAME FOOT ON 2021 DUE TO ARTHRITIS AND GRINDING IN THAT JOINT. BOTH WERE BY THE SAME SURGEON. I FOLLOWED DOCTORS DOCTOR'S ORDERS AND DIDN'T USE MY FOOT AFTER THAT. ON [DATE REDACTED] I HAD A POST OP APPOINTMENT FOR MY FUSION SURGERY. AT THAT APPOINTMENT THE SURGEON TOLD ME TO START PUTTING UP TO ABOUT 30% WEIGHT ON MY HEEL SOMETIMES TO GET FEEL FOR IT, BUT NOT OVERLOAD IT. HE ALSO TOLD ME TO START JUST WORKING MY ANKLE JOINT WHILE I WAS SITTING BY JUST POINTING THE FRONT OF MY FEET DOWN AND UP OVER AND OVER. THAT'S WHEN THE TROUBLES STARTED. MY ANKLE IS STARTING TO HURT AND IT FEELS JUST A LITTLE LOOSE AND UNSTABLE, AND IT LITERALLY SQUEAKS LIKE A ROCKING CHAIR ON OLD WOOD FLOOR. THIS IS NO EXAGGERATION. IF YOU WANT TO CALL ME I'LL SQUEAK IT FOR YOU AND YOU CAN HEAR IT OVER THE PHONE. I DON'T CARE THAT MUCH ABOUT HOW MY ANKLE AND FOOT SOUND OR LOOK. IT CONCERNS ME THAT IT IS GETTING WORSE AND IT FEELS SLIGHTLY LIKE IT'S JUST NOT AS SOLID IN THE ANKLE AS IT WAS BEFORE THE FOOT BONE FUSION. THIS MAY BE LESS OF A PROBLEM THAN I'M MAKING IT TO BE. MAYBE THE SURGEON IS STILL GOIN TO FIX IT. HE HASN'T "THROWN ME TO THE WOLVES" AND WE ARE HAVING MORE FOLLOW UP APPOINTMENTS. THANK YOU. I'M NOT COMPLAINING ABOUT MY SURGEON, I'M REPORTING A PROBLEM WITH MY 7 MONTHS OLD STAR ANKLE REPLACEMENT ANKLE."

Additional Manufacturer Narrative · 1

THE DEVICE WILL NOT BE RETURNED. IF ADDITIONAL INFORMATION BECOMES AVAILABLE, IT WILL BE PROVIDED IN A SUPPLEMENTAL REPORT. DEVICE REMAINS IMPLANTED.

Description of Event or Problem · 1

A PATIENT REPORTED VIA MEDWATCH MW5102775 THE FOLLOWING COMPLAINT: "PREAMBLE I'M A MAN IN GOOD HEALTH. ABOUT 20 POUNDS HEAVY FROM MY BEST WEIGHT. I'M 5'11" LBS. ABOUT 15 YEARS AGO I SLIPPED ON ICE AND BROKE OFF ABOUT A THUMB SIZE PIECE OF THE BOTTOM OF MY FIBULA IN MY RIGHT LEG. AT THAT TIME IT WAS PUT BACK IN PLACE AND RIGID PERFORATED METAL STRIP WITH 6 SCREWS WAS PUT IN TO HOLD IT TOGETHER AND IN PLACE. OVER THE YEARS MY ANKLE AND FOOT STARTED HURTING. IN 2017 I HAD BONE FUSION SURGERY FOR ARTHRITIS AND A LOW ARCH. I THINK IT INVOLVED PLATES AND CREWS FOR MY NAVICULAR, MY CUNEIFORM AND MY BIG TOE FIRST METATARSAL. AT THAT TIME I ALSO HAD MY TWO PERONEAL TENDONS SEWN TOGETHER BECAUSE ONE OF THEM WAS NEARLY TORN THROUGH. ALSO, SHE REMOVED THE METAL STRIP AND SCREWS FROM MY TIBIA. IN 2020 SHE DID MY FOOT ARTHRITIS SURGERY DONE AGAIN, BECAUSE IT WAS HURTING MORE AND MORE AND SHE SAID THE FUSION DIDN'T QUITE TAKE TOGETHER LIKE IT SHOULD HAVE, SHE TOOK BONE FROM MY HIP AND NOW THAT PART OF MY FOOT FEELS GREAT. I HAD ALL OF THIS DONE AT VA MEDICAL CENTER. THEN SHE (FOOT SURGEON) TOLD ME THE ARTHRITIS PAIN IN AND AT MY ANKLE CALLED FOR A PROSTHETIC ANKLE AND SHE DIDN'T DO THAT TYPE OF WORK. SHE REFERRED ME TO HOSPITAL ON. PROBLEM I GOT A STAR PROSTHETICS REPLACEMENT ANKLE THERE ON 2020 AND IT WENT WELL WITH NO PROBLEM WITH MY ANKLE, MY FOOT STILL HURT HELL JUST IN FRONT OF MY ANKLE. I GOT A TALONAVICULAR FUSION ON THAT SAME FOOT ON 2021 DUE TO ARTHRITIS AND GRINDING IN THAT JOINT. BOTH WERE BY THE SAME SURGEON. I FOLLOWED DOCTORS DOCTOR'S ORDERS AND DIDN'T USE MY FOOT AFTER THAT. ON [DATE REDACTED] I HAD A POST OP APPOINTMENT FOR MY FUSION SURGERY. AT THAT APPOINTMENT THE SURGEON TOLD ME TO START PUTTING UP TO ABOUT 30% WEIGHT ON MY HEEL SOMETIMES TO GET FEEL FOR IT, BUT NOT OVERLOAD IT. HE ALSO TOLD ME TO START JUST WORKING MY ANKLE JOINT WHILE I WAS SITTING BY JUST POINTING THE FRONT OF MY FEET DOWN AND UP OVER AND OVER. THAT'S WHEN THE TROUBLES STARTED. MY ANKLE IS STARTING TO HURT AND IT FEELS JUST A LITTLE LOOSE AND UNSTABLE, AND IT LITERALLY SQUEAKS LIKE A ROCKING CHAIR ON OLD WOOD FLOOR. THIS IS NO EXAGGERATION. IF YOU WANT TO CALL ME I'LL SQUEAK IT FOR YOU AND YOU CAN HEAR IT OVER THE PHONE. I DON'T CARE THAT MUCH ABOUT HOW MY ANKLE AND FOOT SOUND OR LOOK. IT CONCERNS ME THAT IT IS GETTING WORSE AND IT FEELS SLIGHTLY LIKE IT'S JUST NOT AS SOLID IN THE ANKLE AS IT WAS BEFORE THE FOOT BONE FUSION. THIS MAY BE LESS OF A PROBLEM THAN I'M MAKING IT TO BE. MAYBE THE SURGEON IS STILL GOING TO FIX IT. HE HASN'T "THROWN ME TO THE WOLVES" AND WE ARE HAVING MORE FOLLOW UP APPOINTMENTS. THANK YOU. I'M NOT COMPLAINING ABOUT MY SURGEON, I'M REPORTING A PROBLEM WITH MY 7 MONTHS OLD STAR ANKLE REPLACEMENT ANKLE."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1375135 UNKNOWN STAR ANKLE PROSTHESIS, ANKLE, UNCEMENTED, NON-CONSTRAINED NTG STRYKER GMBH UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Male Other