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 |