FDA Adverse Event Injury Summary report: N

UNKNOWN STRYKER LEFT KNEE IMPLANT

MDR report key: 2161208 · Received July 8, 2011

Report

Report Number
2249697-2011-01031
Event Type
Injury
Date Received
July 8, 2011
Date of Event
June 16, 2008
Report Date
June 16, 2011
Manufacturer
STRYKER ORTHOPAEDICS MAHWAH
Product Code
JWH
PMA / PMN Number
UNK
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
PATIENT

Narratives

Additional Manufacturer Narrative · 1

AN EVALUATION OF THE DEVICE(S) CANNOT BE PERFORMED AS THE DEVICE(S) REMAINED IMPLANTED IN THE PATIENT AND WAS NOT RETURNED TO THE MANUFACTURER. ADDITIONAL INFORMATION PERTAINING TO THE DEVICE(S) REFERENCED IN THIS REPORT (INCLUDING X-RAYS AND MEDICAL RECORDS) WAS REQUESTED. IF ADDITIONAL INFORMATION BECOMES AVAILABLE, THE EVALUATION SUMMARY WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

IT WAS REPORTED THAT, "THREE TO FOUR YEARS AFTER KNEE REPLACEMENT SURGERY THE PATIENT'S KNEE HAS BEGUN BUCKLING OR GIVING OUT ON HER. THE PATIENT RESEARCHED ON THE INTERNET AND FOUND THAT HER IMPLANTS MAY HAVE BEEN RECALLED. THEY WOULD LIKE TO KNOW IF HER IMPLANT HAS BEEN RECALLED. HER PRIMARY SURGEON IS NO LONGER IN PRACTICE. SHE IS NOW SEEING DR (B)(6)."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNKNOWN STRYKER LEFT KNEE IMPLANT IMPLANT JWH STRYKER ORTHOPAEDICS MAHWAH NA UNK

Patients

Seq Age Sex Outcome Treatment
1 67 YR Other