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 |