FDA Adverse Event
Injury
Summary report: N
PALACOS BONE CEMENT
MDR report key: 23479418
·
Received November 5, 2025
Report
- Report Number
- MW5178557
- Event Type
- Injury
- Date Received
- November 5, 2025
- Date of Event
- March 12, 2024
- Report Date
- October 14, 2014
- 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. STUDY NO: (B)(6). CLINICAL ADVERSE EVENT RECEIVED FOR COXARTHROSIS LEFT. DEVICE RELATED: NO INFORMATION PROVIDED. PROCEDURE RELATED: NO INFORMATION PROVIDED. TREATMENT/IMPACT: HOSPITALIZATION, MEDICAL INTERVENTION/ MODIFICATION, PHYSICAL THERAPY AND A "TOTAL HIP ARTHROPLASTY". 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 |
|---|---|---|---|---|---|---|---|
| 2280901 | PALACOS BONE CEMENT | BONE CEMENT | LOD | HERAEUS MEDICAL LLC. | 837439 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |