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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: WRIGHT MEDICAL TECHNOLOGY INC FLATCUT TALAR DOME SZ 4 INFINITY ADAPTIS; PROSTHESIS, ANKLE, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER

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WRIGHT MEDICAL TECHNOLOGY INC FLATCUT TALAR DOME SZ 4 INFINITY ADAPTIS; PROSTHESIS, ANKLE, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER Back to Search Results
Model Number 33680034
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Wound Dehiscence (1154); Bacterial Infection (1735); Purulent Discharge (1812); Swelling/ Edema (4577)
Event Date 05/09/2022
Event Type  Injury  
Event Description
It was reported that the patient presented to the clinic on (b)(6) 2022, concerned about an infection of the anterior ankle incision.The physician noted a surgical wound complicated by dehiscence, drainage of purulent fluid, swelling, and erythema.Following a right ankle wound irrigation and debridement on (b)(6) 2022, the physician noted no evidence of a deep infection.Routine culture final report on (b)(6) 2022, confirmed a staphylococcus aureus infection.Patient was prescribed keflex.
 
Manufacturer Narrative
Based on the available information the device will not be returned therefore an evaluation of the device cannot be performed.Should additional information become available, it will be provided on a supplemental report.
 
Manufacturer Narrative
The reported event could not be confirmed since the device was not returned for evaluation and no other evidences were provided.Infections are often caused by a multitude of factors such as comorbidity of the patient, the trauma, the surgical intervention and the aftercare.More detailed information about the complaint event as well as the affected device must be available in order to determine the root cause of the complaint event.A review of the device history for the reported lot did not indicate any abnormalities.No corrective actions are required at this time.A review of the labeling did not indicate any abnormalities.No indications of material, manufacturing or design related problems were found during the investigation.If more information is provided, the case will be reassessed.
 
Event Description
It was reported that the patient presented to the clinic on (b)(6) 2022, concerned about an infection of the anterior ankle incision.The physician noted a surgical wound complicated by dehiscence, drainage of purulent fluid, swelling, and erythema.Following a right ankle wound irrigation and debridement on (b)(6) 2022, the physician noted no evidence of a deep infection.Routine culture final report on (b)(6) 2022, confirmed a staphylococcus aureus infection.Patient was prescribed keflex.
 
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Brand Name
FLATCUT TALAR DOME SZ 4 INFINITY ADAPTIS
Type of Device
PROSTHESIS, ANKLE, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER
Manufacturer (Section D)
WRIGHT MEDICAL TECHNOLOGY INC
1023 cherry rd
memphis TN 38117
Manufacturer (Section G)
WRIGHT MEDICAL TECHNOLOGY, INC.
11576 memphis arlington rd
arlington TN 38002
Manufacturer Contact
anna jusinski
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key15463627
MDR Text Key300374341
Report Number3010667733-2022-00313
Device Sequence Number1
Product Code HSN
UDI-Device Identifier00889797073080
UDI-Public00889797073080
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K191393
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 11/03/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Model Number33680034
Device Catalogue Number33680034
Device Lot Number1719635
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 08/25/2022
Initial Date FDA Received09/22/2022
Supplement Dates Manufacturer Received10/07/2022
Supplement Dates FDA Received11/04/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured02/02/2022
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) Required Intervention;
Patient Age61 YR
Patient SexMale
Patient Weight111 KG
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