FDA Adverse Event
Injury
Summary report: N
SLIDING CORE UHMPWE, 8MM
MDR report key: 5333252
·
Received December 29, 2015
Report
- Report Number
- 0008031020-2015-00782
- Event Type
- Injury
- Date Received
- December 29, 2015
- Date of Event
- February 19, 2014
- Report Date
- February 19, 2014
- Manufacturer
- STRYKER GMBH
- Product Code
- NTG
- PMA / PMN Number
- P050050
- Adverse Event
- 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)(4) 2014. STRYKER BECAME LEGAL MANUFACTURER OF THIS PRODUCT ON (B)(4) 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 DUE TO TIBIAL AND TALAR CYSTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 857220 | SLIDING CORE UHMPWE, 8MM | PROSTHESIS, KNEE, FEMOROTIBIAL, UNICOMPARTMENTAL, SEMI-CONSTRAINED, METAL/POLYME | NTG | STRYKER GMBH | 0924006 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |