FDA Adverse Event
Injury
Summary report: N
UNIVERSAL2 TOTAL WRIST IMPLANT SYSTEM
MDR report key: 3778186
·
Received April 16, 2014
Report
- Report Number
- 3004608878-2014-00041
- Event Type
- Injury
- Date Received
- April 16, 2014
- Report Date
- March 27, 2014
- Manufacturer
- INTEGRA LIFESCIENCES CORPORATION OH/USA
- Product Code
- JWJ
- PMA / PMN Number
- K030037
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SW
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFORMATION.
Description of Event or Problem · 1
THE SURGEON REPORTED TO THE SALES REPRESENTATIVE OF A UNIVERSAL2 WRIST CASE WITH SERIOUS OSTEOLYSIS OF THE DISTAL RADIUS. SURGEON HAS NOW DONE THE REVISION OF THE UNIVERSAL2 WRIST. HE USED THE BIOMET FRACTURE MAESTRO SYSTEM FOR THIS PURPOSE. IT WAS CLEAR THAT IT WAS A SUBSTANTIAL WEAR OF THE POLY-COMPONENT (EXACT PRODUCT ID NOT PROVIDED) THAT HAD CAUSED THE BIG OSTEOLYSIS OF THE RADIUS. ADDITIONAL INFORMATION HAS BEEN REQUESTED BUT TO DATE, NO NEW INFORMATION HAS BEEN PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 233934 | UNIVERSAL2 TOTAL WRIST IMPLANT SYSTEM | UNI2 TOTAL WRIST IMPLANT SYSTEM | JWJ | INTEGRA LIFESCIENCES CORPORATION OH/USA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |