FDA Adverse Event Injury Summary report: N

OXFORD ANATOMIC BEARING

MDR report key: 2051048 · Received April 4, 2011

Report

Report Number
3002806535-2011-00044
Event Type
Injury
Date Received
April 4, 2011
Date of Event
January 14, 2011
Report Date
March 8, 2011
Manufacturer
BIOMET UK LTD.
Product Code
NRA
PMA / PMN Number
P0100014
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE USER FACILITY IS OUTSIDE OF THE UNITED STATES. NO MEDWATCH REPORT WAS RECEIVED. CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT. NO FURTHER COMPLICATIONS HAVE BEEN REPORTED. THIS REPORT FILED (B)(4), 2011.

Description of Event or Problem · 1

IT WAS REPORTED THAT PATIENT UNDERWENT PRIMARY KNEE PROCEDURE ON (B)(6), 2006. PATIENT UNDERWENT REVISION SURGERY ON (B)(6), 2011 DUE TO PAIN FROM PROGRESSION OF LATERAL COMPARTMENT DISEASE. NO FURTHER COMPLICATIONS HAVE BEEN REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OXFORD ANATOMIC BEARING NRA BIOMET UK LTD. NA 1116982

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R