FDA Adverse Event Injury Summary report: N

SCORPIO TS FEM W/LFIT

MDR report key: 2540731 · Received February 5, 2010

Report

Report Number
2249697-2010-01954
Event Type
Injury
Date Received
February 5, 2010
Date of Event
December 13, 2005
Report Date
February 5, 2010
Manufacturer
STRYKER ORTHOPAEDICS
Product Code
JWH
PMA / PMN Number
K994128
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AU
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

AS PART OF A QUALITY SYS IMPROVEMENT PLAN STRYKER CORP CONDUCTED A 2 YEAR RETROSPECTIVE MDR REVIEW TO ENSURE APPROPRIATE MDR REPORTING DECISIONS. EVENTS REPORTED TO STRYKER FROM (B)(4) 2006 TO (B)(4) 2008, WERE THE SCOPE OF THIS RETROSPECTIVE REVIEW. THESE EVENTS ARE PART OF A RETROSPECTIVE SUMMARY REPORT BEING SUBMITTED UNDER EXEMPTION #(B)(4). THERE ARE 12 EVENTS ASSOCIATED WITH THIS EVENT TYPE (POST-OPERATIVE ADVERSE EVENT) AND PRODUCT CODE (JWH).

Description of Event or Problem · 1

POST OPERATIVE ADVERSE RESULT. PERSISTING INFECTION, WOUND DEHISCENCE, PATELLA TENDON PLASTY, COVERAGE WITH GASTROCNEMIUS PLASTY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SCORPIO TS FEM W/LFIT IMPLANT JWH STRYKER ORTHOPAEDICS NA K05N98

Patients

Seq Age Sex Outcome Treatment
1 NA Required Intervention