FDA Adverse Event Injury Summary report: N

SLIDING CORE UHMPWE, 6MM

MDR report key: 5316786 · Received December 21, 2015

Report

Report Number
0008031020-2015-00562
Event Type
Injury
Date Received
December 21, 2015
Date of Event
May 6, 2013
Report Date
May 6, 2013
Manufacturer
STRYKER GMBH
Product Code
NTG
PMA / PMN Number
P050050
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

WITH GUIDANCE FROM THE MDR POLICY BRANCH OF THE FDA, MDR REPORTED BY STRYKER GMBH, (B)(6) AS A RESULT OF A RETROSPECTIVE LOOKBACK OF COMPLAINTS RESULTING FROM THE ACQUISITION OF ASSETS FROM SMALL BONE INNOVATION, INC. THE REPORTED DEVICE WAS MANUFACTURED AND DISTRIBUTED BY SMALL BONE INNOVATION, INC., (B)(6) AND IMPLANTED PRIOR TO HOWMEDICA OSTEONICS CORP.¿S PURCHASE OF CERTAIN ASSETS OF SBI ON (B)(6) 2014. STRYKER BECAME LEGAL MANUFACTURER OF THIS PRODUCT ON (B)(6) 2015 AND HAS TAKEN THE RESPONSIBILITY FOR MEDICAL DEVICE REPORTING. DEVICE WILL NOT BE RETURNED. IF ADDITIONAL INFORMATION BECOMES AVAILABLE IT WILL BE PROVIDED ON A SUPPLEMENTAL REPORT. DEVICE IS NOT AVAILABLE TO STRYKER.

Description of Event or Problem · 1

REVISION SURGERY FOR TENDON & LIGAMENT RECONSTRUCTION.

Description of Event or Problem · 1

REVISION SURGERY FOR TENDON & LIGAMENT RECONSTRUCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
841473 SLIDING CORE UHMPWE, 6MM PROSTHESIS, KNEE, FEMOROTIBIAL, UNICOMPARTMENTAL, SEMI-CONSTRAINED, METAL/POLYME NTG STRYKER GMBH 0945158

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention