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 |