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 |