FDA Adverse Event Injury Summary report: N

CROSS PLATE MTP, RIGHT ANCHORAGE

MDR report key: 20771090 · Received November 25, 2024

Report

Report Number
0008031020-2024-00630
Event Type
Injury
Date Received
November 25, 2024
Date of Event
October 29, 2024
Report Date
February 5, 2025
Manufacturer
STRYKER GMBH
Product Code
HRS
UDI-DI
07613252473343
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE EVENT INVOLVES A DEVICE THAT IS NOT CLEARED FOR SALE IN THE U.S., BUT SIMILAR DEVICE IS COMMERCIALLY AVAILABLE IN THE U.S. (REGISTERED UNDER 510(K)# K083447). THEREFORE, IT IS SUBJECT TO REPORTABILITY UNDER MDR. ONCE THE INVESTIGATION HAS BEEN COMPLETED ANY ADDITIONAL INFORMATION WILL BE REPORTED IN A SUPPLEMENTAL REPORT.

Additional Manufacturer Narrative · 0

CORRECTION: PLEASE REFER TO SECTION D9 THE DEVICE WAS NOT RETURNED. THE REPORTED EVENT COULD NOT BE CONFIRMED SINCE THE DEVICE WAS NOT RETURNED FOR EVALUATION AND NO OTHER EVIDENCE WAS PROVIDED. A DEVICE INSPECTION WAS NOT POSSIBLE SINCE THE AFFECTED DEVICE WAS NOT RETURNED. A REVIEW OF THE DEVICE HISTORY FOR THE REPORTED LOT DID NOT INDICATE ANY ABNORMALITIES. NO CORRECTIVE ACTIONS ARE REQUIRED AT THIS TIME. NO INDICATIONS OF MATERIAL, MANUFACTURING OR DESIGN RELATED PROBLEMS WERE FOUND DURING THE INVESTIGATION. A REVIEW OF THE LABELING DID NOT INDICATE ANY ABNORMALITIES. MORE INFORMATION SUCH PATIENT¿S MEDICAL RECORDS AS WELL AS THE AFFECTED DEVICE MUST BE AVAILABLE IN ORDER TO DETERMINE THE EXACT ROOT CAUSE OF THE ISSUE. IF THE DEVICE IS RETURNED OR IF ANY ADDITIONAL INFORMATION IS PROVIDED, THE INVESTIGATION WILL BE REASSESSED.

Description of Event or Problem · 0

AS REPORTED: "PATIENT WAS BOOKED FOR REMOVAL OF PLATE BUT I DIDN¿T KNOW IT HAD SNAPPED INSIDE UNTIL THE DAY OF REMOVAL. PLATE WAS REMOVED (B)(6) 2024 ¿ ORIGINAL SURGERY DATE (B)(6) 2023 PLATE WAS REPLACED."

Description of Event or Problem · 0

AS REPORTED: "PATIENT WAS BOOKED FOR REMOVAL OF PLATE BUT I DIDN¿T KNOW IT HAD SNAPPED INSIDE UNTIL THE DAY OF REMOVAL. PLATE WAS REMOVED (B)(6) 2024 ¿ ORIGINAL SURGERY DATE (B)(6) 2023. PLATE WAS REPLACED."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1708332 CROSS PLATE MTP, RIGHT ANCHORAGE PLATE, FIXATION, BONE HRS STRYKER GMBH AA0794 07613252473343

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention