FDA Adverse Event Injury Summary report: N

HOWMEDICA AUFRANC TURNER STEM

MDR report key: 1772134 · Received July 22, 2010

Report

Report Number
2249697-2010-00874
Event Type
Injury
Date Received
July 22, 2010
Date of Event
June 16, 2010
Report Date
June 29, 2010
Manufacturer
STRYKER ORTHOPAEDICS MAHWAH
Product Code
MEH
PMA / PMN Number
UNK
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE INFO WAS PROVIDED BY STRYKER ORTHOPAEDICS' CLINICAL AFFAIRS DEPT. NO ADD'L INFO IS AVAILABLE AT THIS TIME. ADD'L F/U INFO MAY BE OBTAINED BY THE CLINICAL AFFAIRS AS IT BECOMES AVAILABLE. THE EVAL SUMMARY WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

SITE INDICATED THAT A SUBJECT BEING ENROLLED IN THE TRIDENT TRITANIUM ACETABULAR SHELL REVISION STUDY, (B)(4), HAD PREVIOUS STRYKER IMPLANTS (ORIGINAL IMPLANT LISTED AS 1986). PROGRESSIVE PAIN AND RADIOGRAPHIC EVIDENCE OF LOOSENING WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HOWMEDICA AUFRANC TURNER STEM IMPLANT MEH STRYKER ORTHOPAEDICS MAHWAH NA UNK

Patients

Seq Age Sex Outcome Treatment
1 77 YR Other| R