BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BIOMET

    MDR report key: 1131167 · Received August 20, 2008

    Report

    Report Number
    1131167
    Event Type
    Injury
    Date Received
    August 20, 2008
    Date of Event
    August 8, 2008
    Report Date
    August 18, 2008
    Manufacturer
    BIOMET
    Product Code
    JDI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT HAD BIPOLAR HIP PROCEDURE IN 2008. ABOUT 2 DAYS LATER, THE PT WAS TAKEN TO THE OR FOR RECURRENT HIP DISLOCATION. DURING SURGERY, IT WAS DISCOVERED THAT FEMORAL HEAD WAS DISLOCATED FROM THE BIPOLAR HEAD (DISSOCIATION OF HIP AND STEM).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BIOMET HIP PROSTHESIS JDI BIOMET 808470

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Required Intervention