FDA Adverse Event Injury Summary report: N

OXFORD ANAT BRG RT SM SIZE 4 PMA

MDR report key: 25001538 · Received April 27, 2026

Report

Report Number
3002806535-2026-00167
Event Type
Injury
Date Received
April 27, 2026
Date of Event
March 11, 2026
Report Date
April 27, 2026
Manufacturer
BIOMET UK LTD.
Product Code
NRA
UDI-DI
05019279786152
PMA / PMN Number
P010014
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). D10 - ASSOCIATED MEDICAL DEVICES: OXF UNI CMNTLS TIB SZ A RM; ITEM# 166846; LOT# 67183204. OXF TWIN PEG CMNTLS FMRL SM; ITEM# 161473; LOT# 67236414. INVESTIGATION OF THIS INCIDENT IS CURRENTLY ONGOING. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THREE WEEKS AFTER AN INITIAL RIGHT KNEE ARTHROPLASTY, THE PATIENT UNDERWENT A REVISION SURGERY DUE TO A MEDIAL PLATEAU FRACTURE. ALL COMPONENTS WERE REVISED. DUE DILIGENCE IS IN PROGRESS FOR THIS COMPLAINT; NO ADDITIONAL INFORMATION OR PRODUCT HAS BEEN RECEIVED AT THE TIME OF THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1064464 OXFORD ANAT BRG RT SM SIZE 4 PMA PROSTHESIS, KNEE NRA BIOMET UK LTD. 67121232 05019279786152

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention| H SEE H11 NARRATIVE.