FDA Adverse Event Injury Summary report: N

BIOMET BIOCHILL

MDR report key: 2642968 · Received June 29, 2012

Report

Report Number
MW5025996
Event Type
Injury
Date Received
June 29, 2012
Date of Event
May 2, 2010
Report Date
June 29, 2012
Manufacturer
EBI INC/BIOMET INC
Product Code
ILO
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
IL, US
Reporter Occupation
ATTORNEY

Narratives

Description of Event or Problem · 1

PT UNDERWENT (B)(6) 2010 OUTPATIENT SURGERY WITH FUSION AND DEEP PERONEAL NERVE BURIAL OF RIGHT FOOT. PT WAS PROVIDED COLD THERAPY UNIT KNOWN AS "BIOMET BIOCHILL" FROM EBI, LLC PRIOR TO DISCHARGE. ON (B)(6) 2010, PT NOTICED SIGNIFICANT PAIN AND CHILLS, PRESENTED TO LOCAL EMERGENCY DEPT WHERE "FROSTBITE" AND ISCHEMIA WAS OBSERVED AND APPEARANCE WAS CONSIDERED "ISCHEMIA SECONDARY TO EITHER COMPARTMENT SYNDROME OR THERMAL-INDUCED ISCHEMIA." ATTEMPTS WERE MADE TO REVASCULARIZE THE FOOT WITH THROMBOLYTIC THERAPY, ANGIOPLASTY, INFUSION OF A VASODILATOR. EVENTUALLY, DUE TO DRY GANGRENE, PT'S TOES, 1 - 4, AND PART OF FOOT HAD TO BE AMPUTATED. PT CONTINUES TO SUFFER BURNING, SHARP, AND STABBING PAIN WORSE WITH STANDING, WALKING, OR TOUCH. SHE HAS PERMANENT PHYSICAL IMPAIRMENT AND DISFIGUREMENT. THE USE OF THE BIOCHILL WAS INAPPROPRIATE AND/OR IMPROPERLY PLACED; THE PRODUCT INSTRUCTIONS AND INSTRUCTIONS TO THE PT WERE INADEQUATE AND/OR INCOMPLETE; WARNINGS AND INFO OF "ADVERSE EFFECTS" OF THE CRYOTHERAPY WERE INSUFFICIENT; THE HEALTH CARE PROVIDERS OF THE DEVICE FAILED TO PROPERLY PLACE THE DEVICE, INSTRUCT THE PT, AND/OR MONITOR FOR SAFE AND PROPER USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BIOMET BIOCHILL COLD THERAPY UNIT ILO EBI INC/BIOMET INC

Patients

Seq Age Sex Outcome Treatment
1 32 YR Hospitalization| S