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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: WRIGHT MEDICAL TECHNOLOGY INC UNKNOWN INFINITY TIBIAL IMPLANT; PROSTHESIS, ANKLE, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER

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WRIGHT MEDICAL TECHNOLOGY INC UNKNOWN INFINITY TIBIAL IMPLANT; PROSTHESIS, ANKLE, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER Back to Search Results
Catalog Number UNK_WTM
Device Problems Osseointegration Problem (3003); Migration (4003)
Patient Problems Inadequate Osseointegration (2646); Implant Pain (4561)
Event Date 02/15/2024
Event Type  Injury  
Manufacturer Narrative
Based on the available information the device will not be returned therefore an evaluation of the device cannot be performed.A review of the device history is not possible because the lot number was not communicated.Should additional information become available, it will be provided on a supplemental report.H3 other text : device remains implanted in patient.
 
Event Description
It was reported that the patient may need to undergo a total ankle replacement revision surgery due to subsidence/lack of osseointregration of the tibial component and pain.
 
Manufacturer Narrative
Correction h6 results, conclusion codes.The reported event could be confirmed, based on available medical record and health care professionals.The device inspection was not possible as the product was not returned for investigation.The device history record could not be reviewed because the affected device was not returned, and the lot number was not communicated.A review of the labeling did not indicate any abnormalities.Upon further investigation of the ct scans by healthcare professionals the following was observed: after reviewing hcp opinion and surgeon¿s feedback we can conclude that subsidence of the tibial tray due to poor bone quality.Pe looks intact with tibial tray and talar dome.Talar component also looks intact.Based on investigation, the root cause was attributed to a patient related issue.The failure is detected by subsidence of tibial component due to poor bone quality.If the device is returned or any further information is provided, the investigation report will be reassessed.
 
Event Description
It was reported that the patient may need to undergo a total ankle replacement revision surgery due to subsidence/lack of osseointregration of the tibial component and pain.
 
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Brand Name
UNKNOWN INFINITY TIBIAL IMPLANT
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 Key18866359
MDR Text Key337225133
Report Number3010667733-2024-00151
Device Sequence Number1
Product Code HSN
Combination Product (y/n)N
Reporter Country CodeAS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Company Representative
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 05/07/2024
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 Lay User/Patient
Device Catalogue NumberUNK_WTM
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 02/15/2024
Initial Date FDA Received03/08/2024
Supplement Dates Manufacturer Received04/11/2024
Supplement Dates FDA Received05/07/2024
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) Other;
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