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 |