FDA Adverse Event Injury Summary report: N

UNKNOWN_RECONSTRUCTIVE_PRODUCT

MDR report key: 3093920 · Received May 6, 2013

Report

Report Number
0002249697-2013-01564
Event Type
Injury
Date Received
May 6, 2013
Date of Event
January 1, 2007
Report Date
April 12, 2013
Manufacturer
STRYKER ORTHOPAEDICS-MAHWAH
Product Code
JDI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CATALOGUE NUMBER UNKNOWN AT THIS TIME. DEVICE DESCRIPTION REPORTED AS UNKNOWN RIGHT STRYKER KNEE. ADDITIONAL INFORMATION HAS BEEN REQUESTED AND IF RECEIVED WILL BE PROVIDED IN A SUPPLEMENTAL REPORT. DEVICE NOT RETURNED.

Additional Manufacturer Narrative · 1

THE PATIENT IS (B)(6) IN HEIGHT. AN EVENT REGARDING PAIN AND HYPEREXTENSION OF THE KNEE INVOLVING AN UNKNOWN KNEE IMPLANT WAS REPORTED. THE EVENT WAS NOT CONFIRMED. CONCLUSIONS: THE EVENT COULD NOT BE CONFIRMED NOR THE ROOT CAUSE DETERMINED BECAUSE THE DEVICES WERE NOT RETURNED FOR EVALUATION AND NO MEDICAL INFORMATION WAS PROVIDED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT IS EXPERIENCING HYPER EXTENSION TO HER KNEE. PATIENT STATES THAT IT STARTED DURING PHYSICAL THERAPY AFTER KNEE IMPLANT SURGERY. PATIENT WANTS TO KNOW IF IT IS GOING TO GET MORE HYPER EXTENDED IN THE FUTURE. PATIENT ALSO NOTES THAT SHE HAS PAINFUL DAYS.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT IS EXPERIENCING HYPER EXTENSION TO HER KNEE. PATIENT STATES THAT IT STARTED DURING PHYSICAL THERAPY AFTER KNEE IMPLANT SURGERY. PATIENT WANTS TO KNOW IF IT IS GOING TO GET MORE HYPER EXTENDED IN THE FUTURE. PATIENT ALSO NOTES THAT SHE HAS PAINFUL DAYS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
196105 UNKNOWN_RECONSTRUCTIVE_PRODUCT IMPLANT JDI STRYKER ORTHOPAEDICS-MAHWAH UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 56 YR Required Intervention