BEUDAMED
    FDA Adverse Event Other Summary report: N

    BIOMET

    MDR report key: 174022 · Received June 24, 1998

    Report

    Report Number
    MW1014056
    Event Type
    Other
    Date Received
    June 24, 1998
    Date of Event
    May 15, 1998
    Report Date
    June 8, 1998
    Manufacturer
    BIOMET INC.
    Product Code
    KWY
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    REVISION OF LEFT TOTAL HIP, BROKE (PROXIMAL FRACTURE). THE PROXIMAL PORTION OF THE DISTAL STEM FRACTURED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BIOMET Implant MODULAR CALCAR KWY BIOMET INC. 108255 047650

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Other