FDA Adverse Event Injury Summary report: N

ADVANCE(R) ALL-POLY SINGLE POST ONLAY PATELLA

MDR report key: 2942242 · Received February 4, 2013

Report

Report Number
1043534-2013-00191
Event Type
Injury
Date Received
February 4, 2013
Date of Event
July 18, 2011
Report Date
October 22, 2012
Manufacturer
WRIGHT MEDICAL TECHNOLOGY, INC.
Product Code
JWH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION IS NOT COMPLETE. TRENDS WILL BE EVALUATED. THE EVENT CODE IS ADDRESSED IN THE PACKAGE INSERT. THIS REPORT WILL BE UPDATED WHEN THE INVESTIGATION IS COMPLETE. THIS IS THE SAME EVENT AS 1043534-2013-00188, 00189, 00190. THIS EVENT OCCURRED IN (B)(6).

Additional Manufacturer Narrative · 1

CONCLUSION: NO CONCLUSION CAN BE DRAWN. THE COMPLAINT WAS REVIEWED AND ANALYSIS SHOWED NO TREND FOR ITEM/LOT. THE PRODUCT WAS NOT RETURNED. (B)(4): EVIDENCE THAT PRODUCT IN SPECIFICATION WHEN USED.

Additional Manufacturer Narrative · 1

AFTER THE INITIAL REPORT IT WAS DETERMINED THAT THIS WAS REPORTED IN ERROR. PLEASE VOID THE INITIAL AND FOLLOW UP REPORTS. PRODUCT WAS NOT REVISED AND NO COMPLAINT STATED AGAINST THE PRODUCT.

Description of Event or Problem · 1

ALLEGEDLY REMOVED DURING THE REVISION OF ANOTHER COMPONENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
46488 ADVANCE(R) ALL-POLY SINGLE POST ONLAY PATELLA KNEE COMPONENT, CODE:JWH JWH WRIGHT MEDICAL TECHNOLOGY, INC. 124157701

Patients

Seq Age Sex Outcome Treatment
1 58 YR Required Intervention