BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ACETABULAR LINER

    MDR report key: 175479 · Received July 2, 1998

    Report

    Report Number
    1825034-1998-00056
    Event Type
    Injury
    Date Received
    July 2, 1998
    Date of Event
    July 17, 1996
    Report Date
    July 1, 1998
    Manufacturer
    BIOMET, INC.
    Product Code
    KWB
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    LEFT TOTAL HIP ARTHROPLASTY WAS PERFORMED ON 2/22/1990. REVISION OF THE ACETABULAR LINER WAS PERFORMED ON 7/17/1996. PHYSICIAN STATES, "THE PLASTIC LINER APPEARS TO HAVE ERODED AWAY."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACETABULAR LINER Implant PROSTHESIS, HIP, COMP. KWB BIOMET, INC. NA 479130

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Required Intervention