BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VHS VARIABLE ANGLE PLATE

    MDR report key: 218419 · Received April 8, 1999

    Report

    Report Number
    1825034-1999-00045
    Event Type
    Injury
    Date Received
    April 8, 1999
    Date of Event
    March 8, 1999
    Report Date
    April 7, 1999
    Manufacturer
    BIOMET, INC.
    Product Code
    HRS
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    FOLLOWING INSERTION ON 10/27/98, COMPRESSION HIP SCREW WAS REVISED TO TOTAL HIP ARTHROPLASTY ON 03/08/99, DUE TO A FAILED INTERTROCHANTERIC FRACTURE AND THE COLLAPSE OF THE PLATE COMPONENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VHS VARIABLE ANGLE PLATE Implant FIXATION, TRAUMA, COMP. HRS BIOMET, INC. NA 532710

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Required Intervention