FDA Adverse Event
Injury
Summary report: N
STRYKER ORTHOPAEDICS
MDR report key: 3170580
·
Received May 7, 2013
Report
- Report Number
- 3170580
- Event Type
- Injury
- Date Received
- May 7, 2013
- Date of Event
- May 6, 2013
- Report Date
- May 7, 2013
- Manufacturer
- STRYKER ORTHOPAEDICS
- Product Code
- MEH
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- TX, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
ON (B)(6) 2011 - THIS (B)(6) FEMALE UNDERWENT A TOTAL RIGHT HIP ARTHROPLASTY. A STRYKER REJUVENATE MODULAR STEM AND NECK DEVICE WAS IMPLANTED. ON 06/28/2012 - STRYKER ISSUED A VOLUNTARY RECALL OF THE A STRYKER REJUVENATE MODULAR STEM AND NECK. A REACTIVE ISSUE AND CORROSIVE PHENOMENON HAD BEEN DETERMINED TO AFFECT SOME OF THE PATIENTS WITH THE IMPLANT. THE CONCERN IS FOR CHROMIUM AND COBALT FRETTING OUT INTO THE TISSUES OF THE AFFECTED PATIENTS CAUSING SEVERE TISSUE DAMAGE. ON (B)(6) 2013 - PATIENT UNDERWENT REVISION OF THE RIGHT HIP AND HAD THE STRYKER REJUVENATE DEVICE EXPLANTED. EXTENSIVE DEBRIDEMENT OF THE JOINT WAS DONE. HIP IMPLANT REVISED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 199996 | STRYKER ORTHOPAEDICS | REJUVENATE MODULAR HIP IMPLANT | MEH | STRYKER ORTHOPAEDICS | 37106302 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 YR | Required Intervention |