FDA Adverse Event Injury Summary report: N

HOW ROT HNG KNEE FME XL RGT

MDR report key: 765660 · Received September 26, 2006

Report

Report Number
9610726-2006-00051
Event Type
Injury
Date Received
September 26, 2006
Date of Event
September 7, 2006
Report Date
September 8, 2006
Manufacturer
STRYKER ORTHOPAEDICS LIMERICK
Product Code
HSA
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THE SURGEON WAS REVISING THE IMPLANT BECAUSE THE PT HAD COMPLAINED OF KNEE PAIN. IT WAS DISCOVERED INTRAOPERATIVELY THAT THE IMPLANT HAD FRACTURED ACROSS THE CENTER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HOW ROT HNG KNEE FME XL RGT IMPLANT HSA STRYKER ORTHOPAEDICS LIMERICK NA LKRLC

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Required Intervention