FDA Adverse Event
Injury
Summary report: N
OXFORD UNI CMNTLS TIB SZ A RM
MDR report key: 25001640
·
Received April 27, 2026
Report
- Report Number
- 3002806535-2026-00168
- 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
- 00887868354823
- 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 ANAT BRG RT SM SIZE 4 PMA; ITEM# 159569; LOT# 67121232, 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 |
|---|---|---|---|---|---|---|---|
| 1063352 | OXFORD UNI CMNTLS TIB SZ A RM | PROSTHESIS, KNEE | NRA | BIOMET UK LTD. | 67183204 | 00887868354823 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Required Intervention| H | SEE H11 NARRATIVE. |