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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: WRIGHT MEDICAL TECHNOLOGY INC INFINITY ADAPTIS TIB SZ1 INFINITY ADAPTIS; PROSTHESIS, ANKLE, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER

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WRIGHT MEDICAL TECHNOLOGY INC INFINITY ADAPTIS TIB SZ1 INFINITY ADAPTIS; PROSTHESIS, ANKLE, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER Back to Search Results
Catalog Number 33680001
Medical Device Problem Codes Adverse Event Without Identified Device or Use Problem (2993); Insufficient Device Problem Information (3190)
Health Effect - Clinical Codes Failure of Implant (1924); Burning Sensation (2146); Implant Pain (4561); Swelling/ Edema (4577)
Date of Event 08/09/2022
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
The device is not available for evaluation as it remains implanted in the patient.A review of the device history is not possible because the lot number was not communicated.If additional information becomes available, it will be provided on a supplemental report.The information in this report was provided via a medwatch submitted by the user on medwatch # mw5161283.
 
Event or Problem Description
Reporter called to inform the fda that a stryker right ankle implant that she received in 2022 has failed.Implant failure was confirmed with a computed tomography (ct) where, the device has been shown to have separated and come apart.Reporter stated that since having the implant, she has been very sick and believes she may be having a reaction to the implant.Presently, her right ankle has massive edema that causes her leg to swell.Additionally, there is sharp pain and a continuous burning sensation at the implant site.She has an appointment to get a biopsy on the (b)(6) 2024 to rule out infection.
 
Additional Manufacturer Narrative
Correction - cat no, lot no, h6 device code and h6 method code.The reported event could not be confirmed since the device was not returned for evaluation and no other evidences were provided.Failure of total ankle replacement (tar) over time is a known complication.In case of a planned revision procedure a medical opinion aiming to determine the root cause of the failure is part of the internal investigation process.Sufficient (radiological and clinical) information must be provided to enable a meaningful clinical assessment and to identify possible causes of failure.In cases where a ct scan is the only available clinical source, this assessment is limited.No conclusive statement can be provided, because key clinical information (e.G.Clinical status, exact symptoms and range of motion of the patient, assessment of the treating physician) is missing.The root causes of radiographic findings such as radiolucent areas and bone cysts are often complex and multifactorial and cannot be determined scientifically without this decisive evidence.Due to these limitations, we are unable in such cases to provide statements about the patient, the procedure or the device in relation to cause of the failure.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 the device is returned or if any additional information is provided, the investigation will be reassessed.
 
Event or Problem Description
Reporter called to inform the fda that a stryker right ankle implant that she received in 2022 has failed.Implant failure was confirmed with a computed tomography (ct) where, the device has been shown to have separated and come apart.Reporter stated that since having the implant, she has been very sick and believes she may be having a reaction to the implant.Presently, her right ankle has massive edema that causes her leg to swell.Additionally, there is sharp pain and a continuous burning sensation at the implant site.She has an appointment to get a biopsy on the (b)(6) 2024 to rule out infection.
 
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Brand Name
INFINITY ADAPTIS TIB SZ1 INFINITY ADAPTIS
Common Device Name
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 Key20946447
Report Number3010667733-2024-01066
Device Sequence Number8135380
Product Code HSN
UDI-Device Identifier00889797069632
UDI-Public(01)00889797069632(11)201125(17)281123(10)1639064
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K181557
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 03/12/2025
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
Operator of Device Lay User/Patient
Device Catalogue Number33680001
Device Lot Number1639064
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 11/18/2024
Supplement Date Received by Manufacturer02/12/2025
Initial Report FDA Received Date12/16/2024
Supplement Report FDA Received Date03/12/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured11/25/2020
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexFemale
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