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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH UNKNOWN SCORPIO NRG BASEPLATE; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL

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STRYKER ORTHOPAEDICS-MAHWAH UNKNOWN SCORPIO NRG BASEPLATE; PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL Back to Search Results
Catalog Number UNK_JR
Device Problems Loss of Osseointegration (2408); Adverse Event Without Identified Device or Use Problem (2993)
Patient Problem Pain (1994)
Event Date 09/07/2023
Event Type  Injury  
Manufacturer Narrative
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.The following devices were also listed in this report: device name#scorpio nrg femur ; cat#unknown ; lot#unknown.Device name#scorpio nrg baseplate ; cat#unknown ; lot#unknown.It cannot be determined which, if any of these devices may have caused or contributed to the patient's experience.H3 other text : device remains implanted.
 
Event Description
Patient had left primary tkr done 14 years ago using stryker nrg implant, now complaining of pain.
 
Manufacturer Narrative
Reported event: an event regarding loosening involving an unknown scorpio baseplate was reported.The event was confirmed.Method & results: -product evaluation and results: material analysis, visual, functional and dimensional inspections could not be performed as the device remains implanted.-clinician review: a review of the provided medical records by a clinical consultant indicated: "the x-rays demonstrate a scorpio nrg knee implanted on the left side.On the ap the tibial component is noted to be in several degrees of varus with slight lucency underneath the lateral aspect of the component.No gross mechanical failure is evident.The postoperative x-rays show a cemented stemmed ts revision tka in anatomic position.No information regarding causation for the need for revision was provided.It is confirmed a revision tka was performed.The root cause and indications for this revision tka cannot be determined from the information provided.Should additional information become available i would be happy to further this assessment." -product history review: could not be performed as the device lot details were not provided.-complaint history review: could not be performed as the device lot details were not provided.Conclusions: it was reported that the patient was revised due to pain.A review of the provided medical records by a clinical consultant indicated: "the x-rays demonstrate a scorpio nrg knee implanted on the left side.On the ap the tibial component is noted to be in several degrees of varus with slight lucency underneath the lateral aspect of the component.No gross mechanical failure is evident.The postoperative x-rays show a cemented stemmed ts revision tka in anatomic position.No information regarding causation for the need for revision was provided.It is confirmed a revision tka was performed.The root cause and indications for this revision tka cannot be determined from the information provided.Further information such as return of the device and device information, pathology reports, revision operative report as well as patient history and follow-up notes are needed to complete the investigation for determining root cause.No further investigation for this event is possible at this time.If devices and/or additional information become available to indicate further evaluation is warranted, this record will be reopened.The following devices were also listed in this report: device name#scorpio nrg femur ; cat#unknown; lot#unknown.Device name#scorpio nrg insert; cat#unknown; lot#unknown.It cannot be determined which, if any of these devices may have caused or contributed to the patient's experience.
 
Event Description
Patient had left primary tkr done 14 years ago using stryker nrg implant, now complaining of pain.Update as per med review: on the ap the tibial component is noted to be in several degrees of varus with slight lucency underneath the lateral aspect of the component.No gross mechanical failure is evident.The postoperative x-rays show a cemented stemmed ts revision tka in anatomic position.
 
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Brand Name
UNKNOWN SCORPIO NRG BASEPLATE
Type of Device
PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL
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
arokiya raj
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key17836532
MDR Text Key324508357
Report Number0002249697-2023-01096
Device Sequence Number1
Product Code JWH
Combination Product (y/n)N
Reporter Country CodeMY
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 02/06/2024
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 Health Professional
Device Catalogue NumberUNK_JR
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 09/07/2023
Initial Date FDA Received09/28/2023
Supplement Dates Manufacturer Received01/12/2024
Supplement Dates FDA Received02/06/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
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) Hospitalization; Required Intervention; Other;
Patient Age71 YR
Patient SexFemale
Patient EthnicityNon Hispanic
Patient RaceAsian
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