FDA Adverse Event Injury Summary report: N

PATELLA COVER PLATE SMALL

MDR report key: 21900699 · Received April 24, 2025

Report

Report Number
MW5169492
Event Type
Injury
Date Received
April 24, 2025
Date of Event
October 1, 2024
Report Date
April 22, 2025
Manufacturer
INNOMED, INC.
Product Code
LXH
UDI-DI
00840277107817
Report Source
Voluntary report
Reporter Location
GA, US
Reporter Occupation
003
Health Professional
N

Narratives

Description of Event or Problem · 0

ON 12/05/2024, STRYKER REPORTED (PR ID (B)(6)) TO INNOMED, INC. THAT STRYKER CATALOG #4230-01NM WAS MISPLACED DURING SURGERY BY THE SURGICAL TEAM. THE SURGICAL TEAM IDENTIFIED THE ISSUE VIA IMAGING AFTER THE PROCEDURE. THE PATIENT REQUIRED A SECOND SURGERY TO REMOVE THE PATELLA PLATE. AT THE TIME OF THE REPORT, NEITHER STRYKER NOR THE END USER HAD REPORTED THE EVENT AS MANDATED BY THE FDA MDR REQUIREMENTS. INNOMED, INC. REQUESTED THAT THE DEVICE BE RETURNED TO CONFIRM IT TO BE AN INNOMED DEVICE HAD PERFORM A PROPER EVALUATION. AFTER MULTIPLE REQUESTS BY INNOMED, INC., STRYKER REPORTED TO INNOMED, INC., THAT THEY COULD NOT OBTAIN THE DEVICE OR ANY ADD'L INFO FROM THE REPORTER. BASED ON THE LIMITED INFO PROVIDED, THERE IS NO INDICATION THAT THE DEVICE FAILED, AND INNOMED BELIEVES THE SURGICAL TEAM FAILED TO ACCOUNT FOR THE DEVICE BEFORE COMPLETING THE PROCEDURE, CAUSING ADD'L SURGERY TO RECOVER THE DEVICE. REF: INNOMED, INC. CUSTOMER FEEDBACK (B)(4) FOR DETAILS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1226329 PATELLA COVER PLATE SMALL ORTHOPEDIC MANUAL SURGICAL INSTRUMENT LXH INNOMED, INC. 00840277107817

Patients

Seq Age Sex Outcome Treatment
1 73 YR Female Required Intervention