FDA Adverse Event Injury Summary report: N

UNKNOWN_INSERT

MDR report key: 20521608 · Received October 24, 2024

Report

Report Number
0002249697-2024-01458
Event Type
Injury
Date Received
October 24, 2024
Date of Event
September 25, 2024
Report Date
October 24, 2024
Manufacturer
STRYKER ORTHOPAEDICS-MAHWAH
Product Code
MBH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHARMACIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE FOLLOWING DEVICES WERE ALSO LISTED IN THIS REPORT: MRH TIB ROT COMP XS-XL; CAT# 64812100; LOT# 211520 GMRS DIST FEM COMP STD L 65MM; CAT# 64952030; LOT# YJN4S UNKNOWN_TIBIAL PLATE; CAT# UNK_LIM; LOT# NOT REPORTED UNKNOWN_FEMORAL STEM; CAT# UNK_LIM; LOT# NOT REPORTED UNKNOWN_TIBIAL STEM; CAT# UNK_LIM; LOT# NOT REPORTED IT CANNOT BE DETERMINED WHICH, IF ANY OF THESE DEVICES MAY HAVE CAUSED OR CONTRIBUTED TO THE PATIENT'S EXPERIENCE. AN EVALUATION OF THE DEVICE CANNOT BE PERFORMED AS THE DEVICE WAS NOT RETURNED TO THE MANUFACTURER. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE IT WILL BE REPORTED IN A SUPPLEMENTAL REPORT UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem · 0

PERIPROSTHETIC INFECTION AFTER IMPLANTATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1322032 UNKNOWN_INSERT PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO MBH STRYKER ORTHOPAEDICS-MAHWAH UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 74 YR Unknown Hospitalization| R