FDA Adverse Event Other Summary report: N

UNIVERSAL 2 TOTAL WRIST IMPLANT

MDR report key: 1314438 · Received February 17, 2009

Report

Report Number
3004608878-2009-00011
Event Type
Other
Date Received
February 17, 2009
Date of Event
February 1, 2009
Report Date
February 17, 2009
Manufacturer
INTEGRA LIFESCIENCES CORPORATION
Product Code
JWJ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM

Narratives

Additional Manufacturer Narrative · 1

TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFORMATION.

Description of Event or Problem · 1

THE REPORTER STATED IN EMAIL THAT SINCE THE TIME OF THE IMPLANT, THE PATIENT HAS EXPERIENCED PROBLEMS INCLUDING RESTRICTED MOVEMENT, PAIN, CIRCULATION TROUBLE, IMPAIRED FEELING AND MUSCLE FUNCTION, LOSS OF STRENGTH AND PROGRESSIVE WEAKNESS IN THE HAND. CARTILAGE DAMAGE IS SUSPECTED. REVISION SURGERY IS PLANNED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNIVERSAL 2 TOTAL WRIST IMPLANT TOTAL WRIST IMPLANT SYSTEM JWJ INTEGRA LIFESCIENCES CORPORATION UNK NOT KNOWN

Patients

Seq Age Sex Outcome Treatment
1 25 YR