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.
[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
Report Number | 0002249697-2020-00578 |
MDR Report Key | 9866253 |
Report Source | OTHER |
Date Received | 2020-03-23 |
Date of Report | 2020-03-23 |
Date of Event | 2020-02-24 |
Date Mfgr Received | 2020-02-24 |
Date Added to Maude | 2020-03-23 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | MR. MARISOL SANTIAGO |
Manufacturer Street | 325 CORPORATE DRIVE |
Manufacturer City | MAHWAH NJ 07430 |
Manufacturer Country | US |
Manufacturer Postal | 07430 |
Manufacturer Phone | 2018315000 |
Manufacturer G1 | STRYKER ORTHOPAEDICS-MAHWAH |
Manufacturer Street | 325 CORPORATE DRIVE |
Manufacturer City | MAHWAH NJ 07430 |
Manufacturer Country | US |
Manufacturer Postal Code | 07430 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | UNKNOWN_UNKNOWN STRYKER KNEE |
Generic Name | PROSTHESIS, KNEE, PATELLO/FEMOROTIBIAL, SEMI-CONSTRAINED, UNCEMENTED, POROUS, CO |
Product Code | MBH |
Date Received | 2020-03-23 |
Catalog Number | UNK_JR |
Lot Number | UNKNOWN |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | STRYKER ORTHOPAEDICS-MAHWAH |
Manufacturer Address | 325 CORPORATE DRIVE MAHWAH NJ 07430 US 07430 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Hospitalization; 2. Required No Informationntervention | 2020-03-23 |