FDA Adverse Event
Injury
Summary report: N
BIOPRO
MDR report key: 145203
·
Received January 20, 1998
Report
- Report Number
- 1832656-1998-00001
- Event Type
- Injury
- Date Received
- January 20, 1998
- Date of Event
- August 27, 1997
- Report Date
- January 16, 1998
- Manufacturer
- BIOPRO, INC.
- Product Code
- HTG
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
POLYETHYLENE PATELLA BECAME DISASSOCIATED FORM THE PT'S PATELLA. SURGERY WAS REQUIRED TO RECTIFY THE SITUATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BIOPRO Implant | POLYETHYLENE PATELLA | HTG | BIOPRO, INC. | NA | 93-1049 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 56 YR | Required Intervention |