Brand Name | MAKO X3 UNI ONLAY TIBIAL INSERT SIZE 4 - 9 MM |
Type of Device | PROSTHESIS, KNEE PATELLOFEMOROTIBIAL, PARTIAL, SEMI-CONSTRAINED, CEMENTED, POLYM |
Manufacturer (Section D) |
STRYKER ORTHOPAEDICS-MAHWAH |
325 corporate drive |
mahwah NJ 07430 |
|
MDR Report Key | 7516321 |
MDR Text Key | 108351249 |
Report Number | 0002249697-2018-01454 |
Device Sequence Number | 1 |
Product Code |
NPJ
|
Combination Product (y/n) | N |
PMA/PMN Number | K150307 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
health professional,other |
Type of Report
| Initial,Followup |
Report Date |
12/29/2020 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Expiration Date | 07/31/2022 |
Device Catalogue Number | 180734-2 |
Device Lot Number | 6D8J4X |
Was Device Available for Evaluation? |
No
|
Initial Date Manufacturer Received |
04/19/2018
|
Initial Date FDA Received | 05/15/2018 |
Supplement Dates Manufacturer Received | 12/23/2020
|
Supplement Dates FDA Received | 12/29/2020
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
Patient Age | 56 YR |
|
|