REFOBACIN BONE CEMENT R 2X20-3
Report
- Report Number
- 3006946279-2026-00007
- Event Type
- Injury
- Date Received
- February 11, 2026
- Date of Event
- December 10, 2025
- Report Date
- April 29, 2026
- Manufacturer
- BIOMET FRANCE S.A.R.L.
- Product Code
- MBB
- UDI-DI
- 00887868358371
- PMA / PMN Number
- NA
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- 003
Narratives
(B)(4). D-4: THIS DEVICE IS SOLD OUTSIDE THE US AND THEREFORE NO GUDID INFORMATION EXISTS. THIS DEVICE IS CONSIDERED SIMILAR TO (B)(4). D:10: 159582, OXF ANAT BRG RT LG SIZE 3 PMA, LOT 7500507; 154725, OXF UNI TIB TRAY SZ D RM PMA, LOT J7506082; 166943, OXFORD UNI TWIN-PEG FEMORAL LG, LOT J7670007. G2: FOREIGN - EVENT OCCURRED IN GERMANY. G-4: THE REPORTED PRODUCT IS NOT SOLD IN THE US, THE PRE-MARKET SUBMISSION NUMBER FOR THE SIMILAR PRODUCT SOLD IN THE US IS K171540. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.
IT WAS REPORTED BY LEGAL THAT A PATIENT WAS REVISED TO A TOTAL KNEE PROSTHESIS APPROXIMATELY ONE YEAR AND NINE MONTHS POST AN INITIAL RIGHT MEDIAL UNICONDYLAR KNEE ARTHROPLASTY. ABOUT A YEAR AND A HALF POST IMPLANTATION, THE PATIENT PRESENTED WITH PAIN WITHOUT A KNOWN TRAUMA OR INJURY. CT SCANS SHOWED FEMORAL COMPONENT IMPLANT FRACTURE WITH FRAGMENT AND BEARING DISPLACEMENT, FEMORAL RADIOLUCENCIES INDICATING LOOSENING, PRONOUNCED SOFT TISSUE CALCIFICATIONS, AND MARKED JOINT EFFUSION. NO FURTHER INFORMATION HAS BEEN PROVIDED AT THIS TIME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 379758 | REFOBACIN BONE CEMENT R 2X20-3 | ORTHOPAEDIC CEMENT, ANTIMICROBIAL | MBB | BIOMET FRANCE S.A.R.L. | W39BAG2405 | 00887868358371 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | Required Intervention| H | SEE H11 NARRATIVE. |