FDA Adverse Event Injury Summary report: N

UNKNOWN PRODUCT TRIDENT CERAMIC ACETABULAR SYSTEM

MDR report key: 2062565 · Received April 7, 2011

Report

Report Number
9616680-2011-00192
Event Type
Injury
Date Received
April 7, 2011
Date of Event
March 21, 2011
Report Date
March 21, 2011
Manufacturer
STRYKER ORTHOPAEDICS CORK
Product Code
LZO
PMA / PMN Number
UNK
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE INFO IN THIS REPORT WAS PROVIDED BY STRYKER ORTHOPAEDICS LEGAL AFFAIRS. NO ADD'L INFO IS AVAILABLE AT THIS TIME. THE DEVICES ARE NOT AVAILABLE DUE TO THE ONGOING LITIGATION.

Description of Event or Problem · 1

IT WAS REPORTED THROUGH THE ATTORNEY FOR THE PT, AS A RESULT OF A LEGAL CLAIM THAT ALLEGEDLY, "THE PT RECEIVED A TRIDENT ACETABULAR HIP SYSTEM." IT WAS FURTHER ALLEGED THAT, "THE PT IS EXPERIENCING UNK INJURIES POSSIBLY REQUIRING REVISION SURGERY."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNKNOWN PRODUCT TRIDENT CERAMIC ACETABULAR SYSTEM IMPLANT LZO STRYKER ORTHOPAEDICS CORK NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Other