TIBIAL COMP KIN HINGE KNEE 64753933

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 00,05 report with the FDA on 2014-11-13 for TIBIAL COMP KIN HINGE KNEE 64753933 manufactured by Stryker Orthopaedics-mahwah.

Event Text Entries

[15818646] On (b)(6) 2014, a patient (name withheld) had an issue with the gmrs or mrh knee replacement. The patient's femur was fine, but the tibia failed. A sales representative stated that the new components of this product would fit into the old femur; however, they did not. The surgeon had to use multiple 14-year old components in order to finish up the patient's procedure. The patient is now at a higher risk for infection and other complications due to this. Update as per sales rep, doa (b)(6) 2014: it was reported that the patient was revised due to poor bone quality which led to the tibia becoming loose (there was no product failure). During the revision surgery, the gmrs bushings provided were not compatible with the femur. The old bushings from the primary surgery had to be used to complete the surgery.
Patient Sequence No: 1, Text Type: D, B5


[15958222] Additional information has been requested and if received, will be provided in the supplemental report upon completion of the investigation. Device not available.
Patient Sequence No: 1, Text Type: N, H10


[28087185] An event regarding tibial component loosening due to poor bone quality involving a krh tibial rotating component was reported. Conclusion: the investigation is addressed in pr for the krh all-poly tibial component. The tibial rotating component does not interface with bone, it is seated into the all-poly tibial component which does interface with the tibial bone. Based on the provided information, product reported in this investigation did not contribute to the event.
Patient Sequence No: 1, Text Type: N, H10


[28087186] On (b)(6) 2014, a patient (name withheld) had an issue with the gmrs or mrh knee replacement. The patient's femur was fine, but the tibia failed. A sales representative stated that the new components of this product would fit into the old femur; however, they did not. The surgeon had to use multiple 14-year old components in order to finish up the patient's procedure. The patient is now at a higher risk for infection and other complications due to this. Update as per sales rep, doa (b)(6) 2014: it was reported that the patient was revised due to poor bone quality which led to the tibia becoming loose (there was no product failure). During the revision surgery, the gmrs bushings provided were not compatible with the femur. The old bushings from the primary surgery had to be used to complete the surgery.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0002249697-2014-04253
MDR Report Key4247837
Report Source00,05
Date Received2014-11-13
Date of Report2014-10-20
Date of Event2014-10-16
Date Mfgr Received2014-11-27
Date Added to Maude2014-11-13
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 FDA0
Event Location0
Manufacturer ContactMS. BEVERLY LIMA
Manufacturer Street325 CORPORATE DRIVE
Manufacturer CityMAHWAH NJ 07430
Manufacturer CountryUS
Manufacturer Postal07430
Manufacturer Phone2018315000
Manufacturer G1STRYKER ORTHOPAEDICS-LIMERICK
Manufacturer StreetRAHEEN BUSINESS PARK
Manufacturer CityLIMERICK NA
Manufacturer Postal CodeNA
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTIBIAL COMP KIN HINGE KNEE
Generic NameIMPLANT
Product CodeLGE
Date Received2014-11-13
Catalog Number64753933
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER ORTHOPAEDICS-MAHWAH
Manufacturer Address325 CORPORATE DRIVE MAHWAH NJ 07430 US 07430


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Required No Informationntervention 2014-11-13

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