FDA Adverse Event Malfunction Summary report: N

LINKSYMPHOKNEE

MDR report key: 21383201 · Received February 14, 2025

Report

Report Number
3004371426-2025-00006
Event Type
Malfunction
Date Received
February 14, 2025
Date of Event
October 31, 2024
Report Date
October 31, 2024
Manufacturer
WALDEMAR LINK GMBH & CO. KG
Product Code
HRY
PMA / PMN Number
K202924
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE HISTORY RECORDS WERE VIEWED. DUE TO THE INITIATED RECALL, THE COMPLAINT WAS RETROSPECTIVELY CLASSIFIED AS REPORTABLE.

Additional Manufacturer Narrative · 0

THE REVIEW OF THE DEVICE HISTORY RECORD SHOWED NO DEVIATIONS. THIS IS THE FINAL SUPPLEMENTAL REPORT. THE COMPLAINT IS CLOSED.

Description of Event or Problem · 0

CN NOTIFIED WL OF A POTENTIAL ERROR ON THE GTIN NUMBER PROVIDED IN THE RECEIVING PAPERWORK FOR ARTICLE 880-601/12 ON OCT 31, 2024, NOTICED WHILE SCANNING THE PACKAGE LABEL. LINK NOTIFIED LINKBIO ON DEC 4, 2024 THAT THE GTIN NUMBER HAD BEEN CHANGED AND THAT A COMPLAINT WAS INITIATED TO INVESTIGATE THE ISSUE. FURTHER, A REVIEW OF THE GUDID DATABASE FOLLOWING THIS NOTIFICATION INDICATED THAT PRODUCT HAD NOT BEEN UPDATED IN THE GUDID DATABASE WITH THE NEW GTIN NUMBER. [CUSTOMER].

Description of Event or Problem · 0

CN NOTIFIED WL OF A POTENTIAL ERROR ON THE GTIN NUMBER PROVIDED IN THE RECEIVING PAPERWORK FOR ARTICLE 880-601/12 ON OCT 31, 2024, NOTICED WHILE SCANNING THE PACKAGE LABEL. LINK NOTIFIED LINKBIO ON DEC 4, 2024 THAT THE GTIN NUMBER HAD BEEN CHANGED AND THAT A COMPLAINT WAS INITIATED TO INVESTIGATE THE ISSUE. FURTHER, A REVIEW OF THE GUDID DATABASE FOLLOWING THIS NOTIFICATION INDICATED THAT PRODUCT HAD NOT BEEN UPDATED IN THE GUDID DATABASE WITH THE NEW GTIN NUMBER. [CUSTOMER].

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1204953 LINKSYMPHOKNEE MODULAR STEM CYLINDRICAL, TILASTAN, PRESS-FIT CEMENTLESS, L= 80 MM, PRODUCT CODE HRY WALDEMAR LINK GMBH & CO. KG 880-601/12 1943276

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown