FDA Adverse Event Injury Summary report: N

OXFORD KNEE RESECTION PROCEDURE 3 PACK

MDR report key: 1638808 · Received March 18, 2010

Report

Report Number
2950261-2010-00001
Event Type
Injury
Date Received
March 18, 2010
Date of Event
December 14, 2009
Report Date
March 9, 2010
Manufacturer
SYNVASIVE TECHNOLOGY, INC.
Product Code
GFA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

SALES ORDER INFORMATION SHOW SYSTEM 6 BLADE WAS ORDERED BY THE HOSPITAL AND SHIPPED CORRECTLY. THE WRONG BLADE WAS LOADED INTO THE SYSTEM 5 SAW. SYSTEM 6 SAW BLADES ARE NOT INTENDED TO BE USED ON STRYKER SYSTEM 5 SAWS. ON (B) (6) 2010, EMAIL RECEIVED FROM PHYSICIAN INDICATING THAT THE MCL HEALED UNEVENTFULLY AND PATIENT IS EXPERIENCING SOME STIFFNESS IN THE KNEE.

Description of Event or Problem · 1

DURING AN OXFORD PARTIAL KNEE REPLACEMENT SURGERY, A PHYSICIAN REPORTED A STRYKER SYSTEM 6 BLADE WAS USED IN A STRYKER SYSTEM 5 HANDPIECE. IT WAS REPORTED, THE BLADE WOBBLED DURING USE AND CUT AN MCL AS A RESULT. THE DOCTOR PERFORMING THE PARTIAL KNEE REPLACEMENT REPAIRED THE MCL DURING SURGERY. ON (B) (6) 2010, THE DOCTOR REPORTED THE PATIENT IS DOING WELL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OXFORD KNEE RESECTION PROCEDURE 3 PACK GFA SYNVASIVE TECHNOLOGY, INC. 11-3716 94120

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention