FDA Adverse Event Injury Summary report: N

BIOMET INC.

MDR report key: 267825 · Received March 3, 2000

Report

Report Number
267825
Event Type
Injury
Date Received
March 3, 2000
Date of Event
February 1, 2000
Report Date
February 2, 2000
Manufacturer
BIOMET INC.
Product Code
HSH
Product Problem
Yes
Report Source
User Facility report
Reporter Location
SD, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PREOPERATIVE XRAYS OF RT KNEE REVEALED A PORTION OF THE LOCKING CLIP LOCATED ON THE TIBIAL IMPLANT FRACTURED. DURING LT TOTAL KNEE ARTHROPLASTY IN 2000, SURGEON REPLACED LOCKING CLIP IN RIGHT KNEE. RIGHT TOTAL KNEE ARTHROPLASTY ORIGINALLY PERFORMED IN 1996.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BIOMET INC. LOCKING BAR ONLY MAXIM COBALT CHROME I-BEAM TRAY 83 HSH BIOMET INC. 141226 509040

Patients

Seq Age Sex Outcome Treatment
1 70 YR Required Intervention