FDA Adverse Event Injury Summary report: N

NA

MDR report key: 5161459 · Received April 14, 2004

Report

Report Number
8010177-2004-00006
Event Type
Injury
Date Received
April 14, 2004
Manufacturer
STRYKER INSTRUMENTS
Product Code
JEY
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PER (B)(6) EVALUATION ON (B)(6) 2004: THE COMPLAINT IS NOT ACCEPTED. USER RELATED. THE COMPLAINT IS NOT ACCEPTED. A TITANIUM FRACTURE PLATE, STRAIGHT, 14 HOLES, WITHOUT BAR, LENGTH 118MM BROKE POSTOPERATIVELY AND WAS RETURNED IN ORDER TO DETERMINE THE ROOT CAUSE OF THE FAILURE. THE SAMPLE WAS EXAMINED REGARDING ITS DIMENSIONS AS WELL AS BY LIGHT AND SCANNING ELECTRON MICROSCOPY. THE MEASURED DIMENSIONS ARE IN ACCORDANCE WITH THE SPECIFICATION. THE INVESTIGATION SHOWS THAT THE PLATE BROKE BY EXCEEDING THE MATERIALS STRENGTH IN A FORCED FRACTURE MODE OR AFTER A FEW CYCLES UNDER VERY HIGH LOADS IN LOW CYCLE FATIGUE MODE. THE PLASTIC DEFORMATIONS DURING THE ADAPTATION TO THE ANATOMY OF THE PATIENT LED TO A MASSIVE STRAIN HARDENING / EMBRITTLEMENT, PROMOTING THE BREAKAGE OF THE PLATE. THE SAMPLE ALSO SHOWS DAMAGES CAUSED BY MEDICAL INSTRUMENTS. INDICATION FOR MATERIAL RELATED PROBLEMS WERE NOT FOUND IN THIS INVESTIGATION. FURTHER DETAILS ARE DOCUMENTED IN THE FAILURE ANALYSIS REPORT AND IMAGE DOCUMENTATION (B)(4) ISSUED BY (B)(4), STRYKER LEIBINGER GMBH & CO.KG, DEPT TEST AND ANALYSIS ON (B)(6) 2004.

Description of Event or Problem · 1

IT HAS BEEN REPORTED THAT THE PLATE BROKE 2 MONTHS POSTOPERATIVELY. THE FRACTURE OCCURRED DURING MASTICATION. ANY IMPACT RELATED ON THE PATIENT HAD NOT BEEN REPORTED SO FAR. FURTHER INVESTIGATION IS REQUIRED TO CONFIRM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NA JEY STRYKER INSTRUMENTS 54-15070

Patients

Seq Age Sex Outcome Treatment
1 Other