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