BEUDAMED
    FDA Adverse Event Injury Summary report: N

    M-ALGNT TUBE W/O RING

    MDR report key: 241999 · Received September 23, 1999

    Report

    Report Number
    1825034-1999-00085
    Event Type
    Injury
    Date Received
    September 23, 1999
    Date of Event
    August 23, 1999
    Report Date
    September 21, 1999
    Manufacturer
    BIOMET, INC.
    Product Code
    FZX
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KS
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    DURING PREPARATION FOR INTERNAL FIXATION OF FRACTURED FEMUR ON 08/23/1999, THE TIP SECTION OF THE MEDULLARY ALIGNMENT TUBE SEPARATED. SURGEON ELECTED NOT TO REMOVE TIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 M-ALGNT TUBE W/O RING GUIDE, ORTHOPEDIC, INSTRUM. FZX BIOMET, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Required Intervention