UNKNOWN_UNKNOWN STRYKER KNEE UNK_JR

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2020-03-23 for UNKNOWN_UNKNOWN STRYKER KNEE UNK_JR manufactured by Stryker Orthopaedics-mahwah.

Event Text Entries

[185043856] It was noted that the device is not available for evaluation. Should additional information become available, it will be provided in a supplemental report upon completion of the investigation.
Patient Sequence No: 1, Text Type: N, H10


[185043857] Plaintiff alleges that he underwent a left total knee replacement on (b)(6) 2016 where he was implanted with unknown stryker knee devices. It is further alleged that after implantation, plaintiff began to experience "progressive pain and loss of mobility, inflammation and soreness around the implant and severe discomfort. Diagnostic studies in (b)(6) and (b)(6) of 2018 revealed that a component part had broken. " plaintiff underwent revision of his left knee on (b)(6) 2018.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0002249697-2020-00578
MDR Report Key9866253
Report SourceOTHER
Date Received2020-03-23
Date of Report2020-03-23
Date of Event2020-02-24
Date Mfgr Received2020-02-24
Date Added to Maude2020-03-23
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 Location3
Manufacturer ContactMR. MARISOL SANTIAGO
Manufacturer Street325 CORPORATE DRIVE
Manufacturer CityMAHWAH NJ 07430
Manufacturer CountryUS
Manufacturer Postal07430
Manufacturer Phone2018315000
Manufacturer G1STRYKER ORTHOPAEDICS-MAHWAH
Manufacturer Street325 CORPORATE DRIVE
Manufacturer CityMAHWAH NJ 07430
Manufacturer CountryUS
Manufacturer Postal Code07430
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN_UNKNOWN STRYKER KNEE
Generic NamePROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO
Product CodeMBH
Date Received2020-03-23
Catalog NumberUNK_JR
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
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 2020-03-23

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