FDA Adverse Event
Injury
Summary report: N
UNKNOWN MAESTRO TOTAL WRIST
MDR report key: 6210223
·
Received December 28, 2016
Report
- Report Number
- 0001825034-2016-05348
- Event Type
- Injury
- Date Received
- December 28, 2016
- Report Date
- December 21, 2016
- Manufacturer
- BIOMET ORTHOPEDICS
- Product Code
- JWJ
- PMA / PMN Number
- PNI
- Removal / Correction Number
- N/A
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SW
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
CURRENT INFORMATION IS INSUFFICIENT TO PERMIT CONCLUSIONS AS TO THE CAUSE OF THE EVENTS. EVENT DETAILS AND PRODUCT IDENTIFICATION WERE NOT PROVIDED FOR THE PATIENT MENTIONED IN THE JOURNAL ARTICLE. THE ARTICLE WAS WRITTEN BY SAGERFORS,MARCUS; GUPTA, ANIL; BRUS, OLE; RIZZO, MARCO; AND PETTERSSON, KURT.
Description of Event or Problem · 1
IT WAS REPORTED THAT PATIENT WAS REVISED DUE TO DEEP INFECTION. NO FURTHER INFORMATION IS AVAILABLE AND PATIENT OUTCOME IS UNKNOWN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 860160 | UNKNOWN MAESTRO TOTAL WRIST | PROSTHESIS, WRIST | JWJ | BIOMET ORTHOPEDICS | N/A | NI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization| R |