FDA Adverse Event Injury Summary report: N

UNKNOWN_RECONSTRUCTIVE_PRODUCT

MDR report key: 2990620 · Received March 5, 2013

Report

Report Number
0002249697-2013-00913
Event Type
Injury
Date Received
March 5, 2013
Date of Event
October 1, 2007
Report Date
February 12, 2013
Manufacturer
STRYKER ORTHOPAEDICS-MAHWAH
Product Code
MEH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE EXACT CAUSE OF THE EVENT COULD NOT BE DETERMINED BECAUSE LIMITED INFORMATION WAS PROVIDED. THE RETURNED DEVICE, DEVICE INFORMATION, AND MEDICAL RECORDS ARE NEEDED TO FURTHER INVESTIGATE THE EVENT.

Additional Manufacturer Narrative · 1

CATALOGUE NUMBER UNKNOWN AT THIS TIME. DEVICE DESCRIPTION REPORTED AS UNKNOWN STRYKER HIP.AN EVALUATION OF THE DEVICE CANNOT BE PERFORMED AS THE DEVICE REMAINED IMPLANTED IN THE PATIENT AND WAS NOT RETURNED TO THE MANUFACTURER. ADDITIONAL INFORMATION HAS BEEN REQUESTED. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, THE EVALUATION SUMMARY WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT; A CLOSE FAMILY FRIEND HAD HIP SURGERY BACK IN (B)(6) 2007 AND SAID IT WAS A STRYKER HIP. SHE¿S BEEN IN A LOT OF PAIN AND IS THINKING ABOUT GETTING A REVISION SURGERY. SHE MENTIONED SOMETHING TO MY MOTHER ABOUT THE IMPLANT BEING TOO LONG.

Description of Event or Problem · 1

IT WAS REPORTED THAT; A CLOSE FAMILY FRIEND HAD HIP SURGERY BACK IN (B)(6) OF 2007 AND SAID IT WAS A STRYKER HIP. SHE'S BEEN IN A LOT OF PAIN AND IS THINKING ABOUT GETTING A REVISION SURGERY. SHE MENTIONED SOMETHING TO MY MOTHER ABOUT THE IMPLANT BEING TOO LONG.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
94274 UNKNOWN_RECONSTRUCTIVE_PRODUCT IMPLANT MEH STRYKER ORTHOPAEDICS-MAHWAH

Patients

Seq Age Sex Outcome Treatment
1 Other