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