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