FDA Adverse Event Injury Summary report: N

SST EZ SPHERE - 22MM

MDR report key: 6994242 · Received November 1, 2017

Report

Report Number
0008010177-2017-00274
Event Type
Injury
Date Received
November 1, 2017
Date of Event
September 19, 2017
Report Date
April 18, 2018
Manufacturer
STRYKER ORTHOBIOLOGICS-MALVERN
Product Code
FWP
PMA / PMN Number
K922489
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHARMACIST

Narratives

Additional Manufacturer Narrative · 0

DUE TO THE NATURE OF THE COMPLAINT, THE OBSERVATION STATED IN THE REPORTED EVENT COULD NOT BE CON- FIRMED. FOR INFECTION COMPLAINTS EXPANDED INVESTIGATIONS WERE PERFORMED TO ASSURE THAT NEITHER THE COM- PLAINED DEVICE NOR ALL RELATED MANUFACTURING PROCESS STEPS (E.G. ENVIRONMENTAL MONITORING, STERILIZATION VALIDATIONS TESTS) HAVE CAUSED OR CONTRIBUTED TO THE REPORTED EVENT. IT WAS ADDITIONALLY EVALUATED IF THE RISK ASSUMPTIONS IN THE RELATED FMEA ARE IN CORRESPONDENCE WITH THE REPORTED EVENT. WITHIN THESE EXPANDED INVESTIGATION NO INDICATION WAS FOUND FOR ANY SYSTEMATIC, DESIGN OR MANUFACTURING RELATED ISSUE. IN ORDER TO OBTAIN MORE DETAILED INFORMATION ABOUT THE EVENT AND THE OCCURRED INFLAMMATION AN INFECTION CHECKLIST IN COMBINATION WITH SOME FURTHER QUESTIONS WERE SENT SEVERAL TIMES TO THE SALES REP. AS A RESPONSE IT WAS CONFIRMED THAT ALL PATIENTS HAVE RECOVERED AND ARE NOW FINE AGAIN. IN A FINAL PHONE CALL BY THE REGIONAL SALES MANAGER ON (B)(6) 2017 IT WAS ADDITIONALLY STATED THAT NO FURTHER ANSWERS WILL / CAN BE PROVIDED BY THE CLINIC. THE PROVIDED INFORMATION WAS NOT SUFFICIENT TO DETERMINE THE ROOT CAUSE FOR THIS COMPLAINT. WITH RESPECT TO A FORMER INFECTION COMPLAINT FOR A MEDPOR PRODUCT, THE FOLLOWING INFORMATION WAS PROVIDED BY THE R&D MEDPOR EXPERT (VICE PRESIDENT OF CONCEPT DEVELOPMENT ): ¿USUALLY, AN INFECTION AT A MEDPOR IMPLANT SITE IS THOUGHT TO BE CAUSED BY EITHER CONTAMINATION OF THE IMPLANT DURING THE INITIAL SURGERY, ESPECIALLY FROM ORAL MUCOSA IF IT IS AN INTRAORAL APPROACH, OR LATER CONTAMINATION THROUGH A SURGICAL WOUND DEHISCENCE OR EXPOSURE OF THE IMPLANT DUE TO BREAKDOWN OF THE OVERLYING TISSUE.¿ ALL GIVEN INFORMATION WERE FORWARDED TO THE STRYKER HEALTH CARE PROFESSIONAL, WHO AGREED WITH THE R&D MEDPOR EXPERT. BASED ON THE INVESTIGATION, THE DHR REVIEW OF THE RELATED MANUFACTURING AND QUALITY DOCUMENTS AND THE RESULTS FROM THE EXPANDED INVESTIGATION AT THE MANUFACTURER SITE THERE IS NO INDICATION FOR A NOT CORRECTLY WORKING PRODUCT OR ANY DESIGN, MATERIAL OR MANUFACTURING RELATED ISSUE. THEREFORE NO CORRECTIVE AND/OR PREVENTIVE ACTIONS ARE DEEMED NECESSARY AT THAT TIME. THE COMPLAINT IS ADDED TO THE COMPLAINT TREND.

Description of Event or Problem · 0

IT WAS REPORTED BY HOSPITAL PHARMACIST THROUGH A COMPANY REPRESENTATIVE THAT A PATIENT DEVELOPED A POSSIBLE POST-SURGICAL INFECTION RELATED TO A MAJOR ORBITAL INFLAMMATORY SYNDROME AFTER A SURGICAL PROCEDURE WITH AN IMPLANT. THE PROCEDURE HAD BEEN COMPLETED SUCCESSFULLY WITHOUT A DELAY. IT WAS REPORTED THE PATIENT RETURNED TO THE HOSPITAL AND ADDITIONAL MEDICAL INTERVENTION WAS ADMINISTERED.

Additional Manufacturer Narrative · 1

DEVICE IS NOT AVAILABLE FOR EVALUATION. IF ADDITIONAL INFORMATION IS RECEIVED IT WILL BE REPORTED ON A SUPPLEMENTAL REPORT. DEVICE STILL IMPLANTED.

Description of Event or Problem · 1

IT WAS REPORTED BY HOSPITAL PHARMACIST THROUGH A COMPANY REPRESENTATIVE THAT A PATIENT DEVELOPED A POSSIBLE POST-SURGICAL INFECTION RELATED TO A MAJOR ORBITAL INFLAMMATORY SYNDROME AFTER A SURGICAL PROCEDURE WITH AN IMPLANT. THE PROCEDURE HAD BEEN COMPLETED SUCCESSFULLY WITHOUT A DELAY. IT WAS REPORTED THE PATIENT RETURNED TO THE HOSPITAL AND ADDITIONAL MEDICAL INTERVENTION WAS ADMINISTERED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
773783 SST EZ SPHERE - 22MM IMPLANT FWP STRYKER ORTHOBIOLOGICS-MALVERN A1702029

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention