BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BIOMET INC.

    MDR report key: 199636 · Received November 25, 1998

    Report

    Report Number
    MW1015066
    Event Type
    Injury
    Date Received
    November 25, 1998
    Date of Event
    November 10, 1998
    Report Date
    November 12, 1998
    Manufacturer
    BIOMET, INC.
    Product Code
    KWY
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    FRACTURE OF 9MM RIGHT STEM IMPLANT AS WELL AS RIGHT FEMORAL NECK FRACTURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BIOMET INC. Implant FEMORAL POROUS COATED RIGHT STEM KWY BIOMET, INC. 104910 500080

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Required Intervention