FDA Adverse Event Injury Summary report: N

COMPASS UNIVERSAL HINGE

MDR report key: 2221025 · Received August 23, 2011

Report

Report Number
1020279-2011-00339
Event Type
Injury
Date Received
August 23, 2011
Date of Event
June 3, 2011
Report Date
August 23, 2011
Manufacturer
SMITH & NEPHEW, INC.
Product Code
KTT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE RETURNED DEVICE WAS MEASURED AND THE WIDTH OF MEDIAL GEAR BASE ASSEMBLY WAS FOUND TO BE WITHIN SPECIFICATIONS. THE PART ROTATES WITH MINIMAL EFFORT AND DOES NOT BIND DURING OPERATION. THE REPORTED FAILURE MODE COULD NOT BE DUPLICATED.

Description of Event or Problem · 1

REVISION SURGERY WAS REPORTED AFTER THE SURGEON WAS UNHAPPY WITH THE HINGE'S FLUIDITY AND RANGE OF MOVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COMPASS UNIVERSAL HINGE COMPASS UNIVERSAL HINGE KTT SMITH & NEPHEW, INC. 71060001

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R (B)(4)| (B)(4)