FDA Adverse Event Injury Summary report: N

UNKNOWN PLATE

MDR report key: 16425864 · Received February 23, 2023

Report

Report Number
0008031020-2023-00092
Event Type
Injury
Date Received
February 23, 2023
Date of Event
July 9, 2021
Report Date
February 23, 2023
Manufacturer
STRYKER GMBH
Product Code
HRS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

PLEASE NOTE THAT THE AWARENESS DATE OF THIS EVENT WAS INCORRECTLY SUBMITED AND SHOULD HAVE BEEN (B)(6)-2021.

Additional Manufacturer Narrative · 0

BASED ON THE AVAILABLE INFORMATION THE DEVICE WILL NOT BE RETURNED THEREFORE AN EVALUATION OF THE DEVICE CANNOT BE PERFORMED. A REVIEW OF THE DEVICE HISTORY IS NOT POSSIBLE BECAUSE THE LOT NUMBER WAS NOT COMMUNICATED. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, IT WILL BE PROVIDED IN A SUPPLEMENTAL REPORT. DEVICE DISPOSITION UNKNOWN.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PLATE FAILED DUE TO INFECTION AND NONUNION. ALL HARDWARE WAS REMOVED EXCEPT FOR TWO DISTAL LAG SCREWS AND A 12X380 STRYKER OLD SCN NAIL AND LATERAL LOCKING PLATE WAS INSERTED. BY END OF MONTH IT WAS INFECTED AGAIN AND PATIENT WENT BACK.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PLATE FAILED DUE TO INFECTION AND NONUNION. ALL HARDWARE WAS REMOVED EXCEPT FOR TWO DISTAL LAG SCREWS AND A 12X380 STRYKER OLD SCN NAIL AND LATERAL LOCKING PLATE WAS INSERTED. BY END OF MONTH IT WAS INFECTED AGAIN AND PATIENT WENT BACK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
864088 UNKNOWN PLATE PLATE, FIXATION, BONE HRS STRYKER GMBH UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 56 YR Male Required Intervention