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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ORTHOPAEDICS-MAHWAH UNKNOWN 4.5 ACCOLADE TMZF PLUS FEMORAL HIP STEM HIP IMPLANT

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STRYKER ORTHOPAEDICS-MAHWAH UNKNOWN 4.5 ACCOLADE TMZF PLUS FEMORAL HIP STEM HIP IMPLANT Back to Search Results
Catalog Number UNK_SHC
Device Problem Material Deformation (2976)
Patient Problems Edema (1820); Inflammation (1932); Discomfort (2330); Injury (2348); Reaction (2414)
Event Date 06/26/2014
Event Type  Injury  
Manufacturer Narrative
The information in this report was provided by stryker orthopaedics legal affairs department. No additional information is available at this time due to the ongoing litigation. Should additional information become available, the evaluation summary will be submitted in a supplemental report. Not available.
 
Event Description
It was reported through the filing of a lawsuit that the plaintiff underwent a total hip arthroplasty on (b)(6) 2007. It is further alleged that several years after implantation, the plaintiff began experiencing discomfort in the area of the device. The patient's hip was then revised on (b)(6) 2014 and during this surgery, "it was discovered that there was metallosis and trunnionosis in plaintiff's hip along with fluid under pressure".
 
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Brand NameUNKNOWN 4.5 ACCOLADE TMZF PLUS FEMORAL HIP STEM
Type of DeviceHIP IMPLANT
Manufacturer (Section D)
STRYKER ORTHOPAEDICS-MAHWAH
325 corporate drive
mahwah NJ 07430
Manufacturer (Section G)
STRYKER ORTHOPAEDICS-CORK
ida industrial estate
carrigtwohill NA
Manufacturer Contact
timothy rice
325 corporate drive
mahwah, NJ 07430
2018315000
MDR Report Key6977953
MDR Text Key90282312
Report Number0002249697-2017-03108
Device Sequence Number1
Product Code MEH
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type other
Reporter Occupation
Type of Report Initial
Report Date 10/25/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/25/2017
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator
Device Catalogue NumberUNK_SHC
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional?
Was the Report Sent to FDA?
Event Location No Information
Date Manufacturer Received09/28/2017
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 Treatment Data
Date Received: 10/25/2017 Patient Sequence Number: 1
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