FDA Adverse Event
Injury
Summary report: N
UNKNOWN TRIDENT ACETABULAR COMPONENT
MDR report key: 6063799
·
Received October 28, 2016
Report
- Report Number
- 0002249697-2016-03387
- Event Type
- Injury
- Date Received
- October 28, 2016
- Date of Event
- September 24, 2016
- Report Date
- October 2, 2016
- Manufacturer
- STRYKER ORTHOPAEDICS-MAHWAH
- Product Code
- KWA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
ADDITIONAL INFORMATION HAS BEEN REQUESTED AND IF RECEIVED, WILL BE PROVIDED IN THE SUPPLEMENTAL REPORT. REMAIN IMPLANTED.
Description of Event or Problem · 1
IT WAS REPORTED THAT DR. (B)(6), SURGEON AT THE CLINIC, REPORTED THE FOLLOWING EVENT TO (B)(6), (B)(6) STUDY MANAGER ORTHO: "PATIENT MR. (B)(6) IS LESS PAINFUL THAN LAST (B)(6) BUT HE STILL LIMPS FOR THE FIRST STEPS. FOR HIM WHO HAS (B)(6) YEARS, THE SITUATION IS BEARABLE IN THE SHORT TERM. IN THE MEDIUM AND LONG TERM, HE WOULD LIKE TO FIND HIS AUTONOMY BACK WHICH THE IMPLANTATION OF THE PROSTHESIS PERMITTED. AS FOR THE X-RAYS, THEY SHOW TWO THINGS: APPARENTLY IMPLANTS ARE ALWAYS FIXED BUT WITH GRANULOMAS, AT PERI-ACETABULAR AND FEMORAL WHICH ARE OBSERVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 715945 | UNKNOWN TRIDENT ACETABULAR COMPONENT | HIP IMPLANT | KWA | STRYKER ORTHOPAEDICS-MAHWAH | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |