BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BIOMET

    MDR report key: 2213814 · Received June 26, 2007

    Report

    Report Number
    MW5021743
    Event Type
    Malfunction
    Date Received
    June 26, 2007
    Date of Event
    May 17, 2007
    Report Date
    August 26, 2007
    Manufacturer
    BIOMET
    Product Code
    JWH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DJD - END STAGE OA. LEFT TIBIAL COMPONENT LOOSENING. REPLACED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BIOMET LEFT KNEE JWH BIOMET TIBIAL PLATES/ FEMCOMPONENT 983750/972650

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Other