FDA Adverse Event
Malfunction
Summary report: N
UNKNOWN TRIDENT CONSTRAINED LINER
MDR report key: 1017427
·
Received March 19, 2008
Report
- Report Number
- 2249697-2008-00070
- Event Type
- Malfunction
- Date Received
- March 19, 2008
- Date of Event
- February 15, 2008
- Report Date
- February 25, 2008
- Manufacturer
- STRYKER ORTHOPAEDICS MAHWAH
- Product Code
- MEH
- PMA / PMN Number
- UNK
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
DEVICE IS STILL IMPLANTED. NO EVAL WILL BE PERFORMED. IF THE DEVICE OR ADD'L INFO BECOMES AVAILABLE, IT WILL BE REPORTED ON A SUPPLEMENTAL REPORT.
Description of Event or Problem · 1
IT WAS REPORTED THAT, "ON 02/2008, X-RAY SHOWED A BREAK IN OUTER RING ON THE CONSTRAINED LINER. ACCORDING TO THE DR, THE PT IS ASYMPTOMATIC.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNKNOWN TRIDENT CONSTRAINED LINER | IMPLANT | MEH | STRYKER ORTHOPAEDICS MAHWAH | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NI | Other |