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U.S. Department of Health and Human Services

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

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WRIGHT MEDICAL TECHNOLOGY INC FLAT CUT TALAR DOME SZ 4 INFINITY ADAPTIS; PROSTHESIS, ANKLE, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER Back to Search Results
Catalog Number 33680034
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes Fever (1858); Unspecified Infection (1930); Pain (1994); Swelling/ Edema (4577)
Date of Event 04/01/2025
Type of Reportable Event Serious Injury
Additional 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 in a supplemental report.
 
Event or Problem Description
As reported: "study: stryker itar-2.Subject: (b)(6).Infection, deep.Patient came in for 2-yr follow up on mar 13 and had been doing very clinically well until that point.Starting mar 27th, patient started experiencing symptoms of pain, redness, and swelling in and around the study ankle, fever as well following several dental procedures.Workup showed increased inflammatory markers and an mri suspicion of infection around the anterior tibial tendon.Presumed it was deep also because of the proximity of the implant.Explained risk and benefits of the rationale for urgent based surgery to do an i&d and retain the prosthesis but exchange the polyethylene.".
 
Additional Manufacturer Narrative
The reported event could not be confirmed since the device was not returned for evaluation and no other evidence was provided.A review of the device history for the reported lot did not indicate any abnormalities.No corrective actions are required currently.A review of the labeling did not indicate any abnormalities.Microbiologists reviewed the sterilization procedures, environmental monitoring, bioburden data and the dhr and noted: the subject device was packaged according to established design and process specifications and was sterilized according to procedure.No deviation for a non-conformance could be found.No indications of material, manufacturing or design-related problems were found during the investigation.More detailed information about the complaint event as well as the affected device must be available to determine the root cause of the complaint event.If device is returned or any further information is provided, the investigation report will be reassessed.
 
Event or Problem Description
As reported: "study: (b)(4).Subject: (b)(6).Infection, deep patient came in for 2-yr follow up on mar 13 and had been doing very clinically well until that point.Starting (b)(6), patient started experiencing symptoms of pain, redness, and swelling in and around the study ankle, fever as well following several dental procedures.Workup showed increased inflammatory markers and an mri suspicion of infection around the anterior tibial tendon.Presumed it was deep also because of the proximity of the implant.Explained risk and benefits of the rationale for urgent based surgery to do an i&d and retain the prosthesis but exchange the polyethylene.".
 
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Brand Name
FLAT CUT TALAR DOME SZ 4 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
1023 cherry rd
memphis TN 38117
Manufacturer Contact
cécile lefeuvre
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key21948036
Report Number3010667733-2025-00519
Device Sequence Number8836177
Product Code HSN
UDI-Device Identifier00889797073080
UDI-Public00889797073080
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K191393
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) 08/05/2025
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 Number33680034
Device Lot Number1724386
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 04/03/2025
Supplement Date Received by Manufacturer07/17/2025
Initial Report FDA Received Date05/02/2025
Supplement Report FDA Received Date08/05/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/19/2022
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 Required Intervention;
Patient Age64 YR
Patient SexMale
Patient Weight98 KG
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