FDA Adverse Event Injury Summary report: N

TRIATHLON PS X3 TIBIAL INSERT

MDR report key: 2901371 · Received December 14, 2012

Report

Report Number
2249697-2012-02646
Event Type
Injury
Date Received
December 14, 2012
Date of Event
January 1, 2009
Report Date
November 27, 2012
Manufacturer
STRYKER ORTHOPAEDICS MAHWAH
Product Code
JWH
PMA / PMN Number
K051146
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

ADDITIONAL INFORMATION HAS BEEN REQUESTED FROM THE PATIENT AND IF RECEIVED WILL BE PROVIDED IN A SUPPLEMENTAL REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TRIATHLON PS X3 TIBIAL INSERT IMPLANT JWH STRYKER ORTHOPAEDICS MAHWAH NA MHD2K6

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention