FDA Adverse Event
Injury
Summary report: N
UNKNOWN PRODUCT LEFT KNEE REPLACEMENT
MDR report key: 2062723
·
Received April 13, 2011
Report
- Report Number
- 2249697-2011-00443
- Event Type
- Injury
- Date Received
- April 13, 2011
- Date of Event
- March 17, 2011
- Report Date
- March 17, 2011
- Manufacturer
- STRYKER ORTHOPAEDICS MAHWAH
- Product Code
- JWH
- PMA / PMN Number
- UNK
- Removal / Correction Number
- NI
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- ID, US
- Reporter Occupation
- PATIENT
Narratives
Additional Manufacturer Narrative · 1
AN EVAL OF THE DEVICE CANNOT BE PERFORMED AS THE DEVICE REMAINED IMPLANTED IN THE PT AND WAS NOT RETURNED TO THE MFR. ADDITIONAL INFO (INCLUDING X-RAYS AND MEDICAL RECORDS) WAS REQUESTED. IF IT BECOMES AVAILABLE, THE EVAL SUMMARY WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.
Description of Event or Problem · 1
IT WAS REPORTED BY THE PT TO STRYKER THAT, "2007 KNEE REPLACEMENT, HAVING A LOT OF PAIN, KNEE IS LOOSE. DR. DID A SECOND KNEE REPLACEMENT, (B)(6) 2008. (DIFFERENT DOCTOR THAN THE FIRST DOCTOR.) STILL HAVING PAIN. WANTS TO KNOW WHY HE IS HAVING SO MUCH PAIN. CAN SOMEONE CALL HIM BACK? CANNOT PUT WEIGHT ON IT. WANTS SOME ANSWERS AS TO WHY IT HURTS."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNKNOWN PRODUCT LEFT KNEE REPLACEMENT | IMPLANT | JWH | STRYKER ORTHOPAEDICS MAHWAH | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Other |