BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RINGLOC ACET. LINER 10 DEG.

    MDR report key: 284380 · Received June 30, 2000

    Report

    Report Number
    284380
    Event Type
    Injury
    Date Received
    June 30, 2000
    Date of Event
    May 12, 2000
    Report Date
    June 28, 2000
    Manufacturer
    BIOMET, INC.
    Product Code
    KWB
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    OK, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    LEFT TOTAL HIP ARTHROPLASTY PERFORMED IN 1999. REVISION PERFORMED IN 2000, DUE TO RECURRENT DISLOCATION, TO REPLACE LINER AND FEMORAL COMPONENTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RINGLOC ACET. LINER 10 DEG. PROSTHESIS, KNEE, COMP. KWB BIOMET, INC. NA 217750

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Hospitalization| R