FDA Adverse Event Injury Summary report: N

XSMALL KRH ALL POLY TIBIA 11MM

MDR report key: 22673404 · Received July 31, 2025

Report

Report Number
0002249697-2025-00749
Event Type
Injury
Date Received
July 31, 2025
Date of Event
December 22, 2021
Report Date
July 31, 2025
Manufacturer
STRYKER ORTHOPAEDICS-MAHWAH
Product Code
JWH
UDI-DI
07613327047462
PMA / PMN Number
K972863
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Description of Event or Problem · 0

INFORMATION RECEIVED FROM IIS 2023-001 INDICATES THE FOLLOWING: I&D, INTRAMEDULLARY NAIL FOR PJI, PROSTHETIC FX. NO IMPLANTS REMOVED. LEFT KNEE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
46429 XSMALL KRH ALL POLY TIBIA 11MM PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL JWH STRYKER ORTHOPAEDICS-MAHWAH UNKNOWN 07613327047462

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention| H