FDA Adverse Event
Malfunction
Summary report: N
OSS RS FEMORAL BUSHING
MDR report key: 1051541
·
Received May 16, 2008
Report
- Report Number
- 1825034-2008-00128
- Event Type
- Malfunction
- Date Received
- May 16, 2008
- Date of Event
- October 9, 2006
- Report Date
- February 2, 2007
- Manufacturer
- BIOMET, INC.
- Product Code
- KRO
- PMA / PMN Number
- K021260
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THERE HAVE BEEN NO TRENDS IDENTIFIED RELATED TO THIS TYPE OF EVENT. OTHER - EVAL OF RETURNED DEVICES FOUND IMPLANTS TO BE OUT OF DESIGN SPECS. IN RESPONSE TO RECENT FDA AUDIT, RETROSPECTIVE REVIEW WAS PERFORMED, EVENT WAS REASSESSED AND DETERMINED TO MEET REPORTING REQUIREMENTS AS DEVICE MALFUNCTION. CORRECTIVE AND PREVENTIVE ACTIONS HAVE BEEN INITIATED.
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING KNEE PROCEDURE IN 2006, BUSHING SET DID NOT FIT IN THE FEMORAL COMPONENT. ADDITIONAL BUSHING SET WAS OPENED AND FIT FINE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | OSS RS FEMORAL BUSHING | KRO | BIOMET, INC. | NA | 231980 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |