FDA Adverse Event Injury Summary report: N

SECUR-FIT HA HIP STEM #8

MDR report key: 2555800 · Received February 5, 2010

Report

Report Number
2249697-2010-01956
Event Type
Injury
Date Received
February 5, 2010
Report Date
February 5, 2010
Manufacturer
STRYKER ORTHOPAEDICS
Product Code
MEH
PMA / PMN Number
K982032
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

AS PART OF A QUALITY SYSTEM IMPROVEMENT PLAN STRYKER CORPORATION 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 (B)(4). THIS IS 1 EVENT ASSOCIATED WITH THIS EVENT TYPE (DIMENSIONAL DISCREPANCY) AND PRODUCT CODE MEH.

Description of Event or Problem · 1

DIMENSIONAL DISCREPANCY. SURGEON REPORTED THAT HE HAS NOTICED A DIFFERENCE IN THE PROXIMAL BODY OF THE SECURFIT STEM AND THE SECURFIT MAX. HE HAS HAD ONE STEM SUBSIDE AND ONE FRACTURED CALCAR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SECUR-FIT HA HIP STEM #8 IMPLANT MEH STRYKER ORTHOPAEDICS NA NI

Patients

Seq Age Sex Outcome Treatment
1 NA Other