FDA Adverse Event
Other
Summary report: N
BIOMET
MDR report key: 2213811
·
Received June 26, 2007
Report
- Report Number
- MW5021742
- Event Type
- Other
- Date Received
- June 26, 2007
- Date of Event
- May 18, 2007
- Report Date
- June 26, 2007
- Manufacturer
- BIOMET
- Product Code
- JWH
- Report Source
- Voluntary report
- Reporter Location
- MO, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
COMPLAINTS OF RIGHT KNEE PAIN - LOOSE PATELLAR. COMPONENT REPAIRED. XRAY - SUBLUXATION OF PATELLAR BUTTON. NO SIGNS & SYMPTOMS OF SEPSIS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BIOMET | PATTELLA IMPLANT | JWH | BIOMET |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR |