FDA Adverse Event Injury Summary report: N

KX+ DURATION PATELLA LRG

MDR report key: 2150612 · Received June 23, 2011

Report

Report Number
9610726-2011-00217
Event Type
Injury
Date Received
June 23, 2011
Date of Event
May 24, 2011
Report Date
June 6, 2011
Manufacturer
STRYKER ORTHOPAEDICS LIMERICK
Product Code
HSX
PMA / PMN Number
K872735
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

AN EVALUATION OF THE DEVICE CANNOT BE PERFORMED AS THE DEVICE WAS NOT RETURNED TO THE MFR. ADDITIONAL INFO WAS REQUESTED. IF IT BECOMES AVAILABLE, THE EVAL SUMMARY WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

THE SURGEON, MR. (B)(6), REPORTED ON BEHALF OF HIS PT THAT AFTER HAVING HAD A VERY SUCCESSFUL KINEMAX REPLACEMENT FOR HIS LEFT KNEE ON THE (B)(6) 2004, THE PT BEGAN TO EXPERIENCE OCCASIONAL PAIN IN HIS KNEE ABOUT A YEAR AGO. HE ADDED THAT THE SYMPTOMS OCCUR APPROX. TWO OR THREE TIMES A WEEK, LAST FOR A FEW HOURS AND SETTLE WITH PARACETAMOL. HE FURTHER REPORTED THAT THEY APPEARED TO BE MECHANICAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KX+ DURATION PATELLA LRG IMPLANT HSX STRYKER ORTHOPAEDICS LIMERICK NA LH793

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention