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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH SCORPIO U-DOME PATELLA; PROSTHESIS, KNEE PATELLOFEMOROTIBIAL, PARTIAL, SEMI-CONSTRAINED, CEMENTED, POLYM

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STRYKER ORTHOPAEDICS-MAHWAH SCORPIO U-DOME PATELLA; PROSTHESIS, KNEE PATELLOFEMOROTIBIAL, PARTIAL, SEMI-CONSTRAINED, CEMENTED, POLYM Back to Search Results
Catalog Number 73-3110
Device Problems Use of Device Problem (1670); Appropriate Term/Code Not Available (3191)
Patient Problems No Consequences Or Impact To Patient (2199); No Known Impact Or Consequence To Patient (2692)
Event Date 12/13/2015
Event Type  malfunction  
Manufacturer Narrative
The device history review indicated all devices were manufactured and accepted into final stock with no reported discrepancies.Should additional information become available, it will be provided in a supplemental report upon completion of the investigation.
 
Event Description
It was reported that an expired implant was used on a patient.
 
Manufacturer Narrative
An event regarding an alleged implantation of a scorpio patella that had passed its expiry date was reported.Conclusion: a review of the manufacturing records indicates a device manufacturing date of 08-may-2010 and an expiry date of 08-may-2015.The date for this event is indicated as (b)(6) 2015.Therefore the device was implanted passed its expiry date.No further investigation is required at this time.If additional information becomes available to indicate further evaluation is warranted, this record will be reopened.
 
Event Description
It was reported that an expired implant was used on a patient.
 
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Brand Name
SCORPIO U-DOME PATELLA
Type of Device
PROSTHESIS, KNEE PATELLOFEMOROTIBIAL, PARTIAL, SEMI-CONSTRAINED, CEMENTED, POLYM
Manufacturer (Section D)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer (Section G)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer Contact
beverly lima
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key5368502
MDR Text Key36049346
Report Number0002249697-2016-00059
Device Sequence Number1
Product Code NPJ
Combination Product (y/n)N
Reporter Country CodeCA
PMA/PMN Number
K052917
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,other
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 12/17/2015
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/14/2016
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date05/31/2015
Device Catalogue Number73-3110
Device Lot Number0T84
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Date Manufacturer Received03/12/2016
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured05/08/2010
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Other;
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