FDA Adverse Event Injury Summary report: N

TALAR COMP,SINGLE COATED US VERS SMALL, LEFT

MDR report key: 5321240 · Received December 22, 2015

Report

Report Number
0008031020-2015-00637
Event Type
Injury
Date Received
December 22, 2015
Date of Event
June 20, 2013
Report Date
June 24, 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)(4)AS A RESULT OF A RETROSPECTIVE LOOKBACK OF COMPLAINTS RESULTING FROM THE ACQUISITION OF ASSETS FROM (B)(4). THE REPORTED DEVICE WAS MANUFACTURED AND DISTRIBUTED BY (B)(4), (B)(4) AND IMPLANTED PRIOR TO (B)(4) PURCHASE OF CERTAIN ASSETS OF (B)(4) 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.

Description of Event or Problem · 1

REVISION SURGERY DUE TO INFECTION.

Description of Event or Problem · 1

REVISION SURGERY DUE TO INFECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
843011 TALAR COMP,SINGLE COATED US VERS SMALL, LEFT PROSTHESIS, KNEE, FEMOROTIBIAL, UNICOMPARTMENTAL, SEMI-CONSTRAINED, METAL/POLYME NTG STRYKER GMBH 091204

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention