UNIVERSAL TOTAL WRIST SYSTEM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,08 report with the FDA on 2008-07-09 for UNIVERSAL TOTAL WRIST SYSTEM manufactured by Integra Lifesciences Corporation.

Event Text Entries

[20621236] The reporter stated that a patient who received a universal total wrist system for slac (scapholunate advanced collapse) had to undergo revision surgery because of septic loosening. The revision procedure showed a loosening of two screws of the carpal component and one screw of the radial component. Inflammation of the bone was seen predominately along the two screws of the carpal component, but also in other areas of the wrist. An interim cement spacer was placed in the wrist after the explantation procedure. Information received in writing by integra indicates that the patient had no other pre-existing medical conditions, and that microbiology findings from the explanted devices are not available. The three universal total wrist system components reported in this event are: radial implant large right (catalogue number: 263400r lot number: 7672). Carpal implant large (catalogue number: 261401, lot number: 9016). Carpal poly implant large (catalogue number: 262400, lot number: 785).
Patient Sequence No: 1, Text Type: D, B5


[20831858] To date, the device components involved in the reported incident have not been received for evaluation. An investigation has been initiated based upon the reported information.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3004608878-2008-00047
MDR Report Key1074913
Report Source01,08
Date Received2008-07-09
Date of Report2008-07-09
Date of Event2008-06-01
Date Added to Maude2009-09-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactSUSAN SCOTT, RN
Manufacturer Street311C ENTERPRISE DR
Manufacturer CityPLAINSBORO NJ 08536
Manufacturer CountryUS
Manufacturer Postal08536
Manufacturer Phone6099363604
Manufacturer G1INTEGRA LIFESCIENCES CORPORATION
Manufacturer Street4900 CHARLEMAR DR., BUILDING A
Manufacturer CityCINCINNATI OH 45227
Manufacturer CountryUS
Manufacturer Postal Code45227
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNIVERSAL TOTAL WRIST SYSTEM
Generic NamePROSTHESIS, WRIST 3 PART METAL PLASTIC
Product CodeKWM
Date Received2008-07-09
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerINTEGRA LIFESCIENCES CORPORATION
Manufacturer AddressCINCINNATI OH US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2008-07-09

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