BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MZA MAGNUM PF CUP 50MM O.D. X 44MM I.D.

    MDR report key: 1652404 · Received April 1, 2010

    Report

    Report Number
    MW5015431
    Event Type
    Malfunction
    Date Received
    April 1, 2010
    Date of Event
    February 8, 2010
    Report Date
    April 1, 2010
    Manufacturer
    BIOMET
    Product Code
    KWB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT UNDERWENT TOTAL HIP ARTHROPLASTY ON (B) (6) 2008. SUBSEQUENTLY, THE PT REPORTED PAIN AND RADIOGRAPHS REVEALED ACETABULAR CUP SPIN-OUT. REVISION WAS PERFORMED ON (B) (6) 2010 TO REMOVE AND REPLACE COMPONENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MZA MAGNUM PF CUP 50MM O.D. X 44MM I.D. MZA MAGNUM PF CUP 50MM O.D. X 44MM I.D. KWB BIOMET US157850 274430

    Patients

    Seq Age Sex Outcome Treatment
    1