FDA Adverse Event Injury Summary report: N

MAKO UKR X3 ONLAY INSERT SIZE 5 - 8 MM

MDR report key: 21343160 · Received February 10, 2025

Report

Report Number
3005985723-2025-00060
Event Type
Injury
Date Received
February 10, 2025
Date of Event
January 15, 2025
Report Date
February 10, 2025
Manufacturer
MAKO SURGICAL CORP.
Product Code
NPJ
UDI-DI
07613327386028
PMA / PMN Number
K180612
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
RI, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

IT WAS NOTED THAT THE DEVICE IS NOT AVAILABLE FOR EVALUATION. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, IT WILL BE PROVIDED IN A SUPPLEMENTAL REPORT UPON COMPLETION OF THE INVESTIGATION. REVIEW OF THE DEVICE HISTORY RECORDS INDICATE DEVICES WERE MANUFACTURED AND ACCEPTED INTO FINAL STOCK WITH NO RELEVANT REPORTED DISCREPANCIES. THERE HAVE BEEN NO OTHER SIMILAR EVENTS FOR THE LOT REFERENCED. THE FOLLOWING DEVICES WERE ALSO LISTED IN THIS REPORT: DEVICE NAME # MCK FEMORAL-RM-LL-SZ 5; CAT #180515; LOT #2607052401; DEVICE NAME # MCK TIBIAL BASEPLATE-RM/LL-SZ 5; CAT #180615; LOT #2635042401. IT CANNOT BE DETERMINED WHICH, IF ANY OF THESE DEVICES MAY HAVE CAUSED OR CONTRIBUTED TO THE PATIENT'S EXPERIENCE.

Description of Event or Problem · 0

I&D AND POLY SWAP OF A MEDIAL MCK RIGHT KNEE DUE TO INFECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1515030 MAKO UKR X3 ONLAY INSERT SIZE 5 - 8 MM PROSTHESIS, KNEE PATELLOFEMOROTIBIAL, PARTIAL, SEMI-CONSTRAINED, CEMENTED, POLYM NPJ MAKO SURGICAL CORP. NM1ALL 07613327386028

Patients

Seq Age Sex Outcome Treatment
1 70 YR Male Required Intervention| H