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 |