FDA Adverse Event
Injury
Summary report: N
PALACOS BONE CEMENT
MDR report key: 23222215
·
Received October 6, 2025
Report
- Report Number
- MW5176935
- Event Type
- Injury
- Date Received
- October 6, 2025
- Report Date
- October 1, 2025
- Manufacturer
- HERAEUS MEDICAL LLC.
- Product Code
- LOD
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
PLEASE BE ADVISED THAT WHILE INVESTIGATING AN EVENT INVOLVING ONE OF OUR PRODUCTS, (B)(6) NOTED A POTENTIAL ADVERSE EVENT REGARDING A NON-(B)(6) PRODUCT. CLINICAL ADVERSE EVENT RECEIVED FOR PAIN IN LEFT KNEE. DEVICE RELATED: POSSIBLY. PROCEDURE RELATED: POSSIBLY. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2279003 | PALACOS BONE CEMENT | BONE CEMENT | LOD | HERAEUS MEDICAL LLC. | 95034979 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |