FDA Adverse Event
Injury
Summary report: N
ACL/PCL MODULAR SYSTEM
MDR report key: 1052638
·
Received May 23, 2008
Report
- Report Number
- 2027970-2008-00010
- Event Type
- Injury
- Date Received
- May 23, 2008
- Date of Event
- May 14, 2008
- Report Date
- May 19, 2008
- Manufacturer
- BIOMET SPORTS MEDICINE
- Product Code
- LXH
- PMA / PMN Number
- EXEMPT
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
EVALUATION: FRACTURING WAS INITIATED BY A COMBINATION OF TORSIONAL & BENDING OVERLOAD. WHEN THE KNEE IS FLEXED MORE THAN RECOMMENDED IN THE SURGICAL TECHNIQUE, THE INSTRUMENT TIP GAS THE POTENTIAL TO BEND AND FATIGUE. UPON CLEANING AND USE IN THE NEXT SURGERY IT MAY BE BENT BACK INTO PROPER SHAPE. CONTINUED USE IN THIS MANOR WEAKENS THE TIP WHICH MAY CAUSE FATIGUE AND BREAKAGE.
Description of Event or Problem · 1
THE TIP OF THE AIMER FRACTURED AND SEPARATED IN THE PATIENT'S KNEE WHILE POSITIONING. THE SURGERY WAS EXTENDED APPROXIMATELY 40 MINUTES IN ORDER TO LOCATE AND REMOVE THE FOREIGN BODY. THE PATIENT SUFFERED NO ILL EFFECT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ACL/PCL MODULAR SYSTEM | ORTHOPEDIC MANUAL SURGICAL INSTRUMENT | LXH | BIOMET SPORTS MEDICINE | 909627 | L186610 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Other |