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