BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN M2A MAGNUM HIP

    MDR report key: 3190560 · Received June 26, 2013

    Report

    Report Number
    0001825034-2013-02259
    Event Type
    Injury
    Date Received
    June 26, 2013
    Date of Event
    February 1, 2013
    Report Date
    May 30, 2013
    Manufacturer
    BIOMET ORTHOPEDICS
    Product Code
    KWA
    PMA / PMN Number
    PK042037
    Removal / Correction Number
    N/A
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THE PRODUCT IDENTIFICATION NECESSARY TO REVIEW MANUFACTURING HISTORY WAS NOT PROVIDED. CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT. EVENT IS BEING REPORTED TO FDA ON ONE MEDWATCH AS LIMITED INFORMATION IS AVAILABLE. SHOULD ADDITIONAL INFORMATION BE RECEIVED, THE COMPLAINT WILL BE REASSESSED AND FURTHER MEDWATCH REPORTS WILL BE SUBMITTED, IF NECESSARY. THE FOLLOWING SECTIONS COULD NOT BE COMPLETED WITH THE LIMITED INFORMATION PROVIDED. PRODUCT IDENTIFICATION AND EXPIRATION DATE - UNKNOWN. MANUFACTURE DATE ¿ UNKNOWN THIS REPORT IS NUMBER 1 OF 2 MDRS FILED FOR THE SAME PATIENT (REFERENCE 1825034-2013-02259 / 02260). BIOMET ORTHOPEDICS RECEIVED PRELIMINARY CLINICAL DATA FROM DR. PAUL GROSSO REGARDING PATIENTS ENROLLED IN A MOM CLINICAL STUDY. PLEASE SEE ATTACHED ABSTRACT TITLED ¿PREVALENCE AND PREDICTORS OF PSEUDOTUMOR AND ELEVATED METAL ION LEVELS FOLLOWING LARGE-DIAMETER HEAD METAL-ON-METAL TOTAL HIP ARTHROPLASTY¿.

    Description of Event or Problem · 1

    BIOMET ORTHOPEDICS RECEIVED PRELIMINARY CLINICAL DATA FROM DR. (B)(6) REGARDING PATIENTS ENROLLED IN A (B)(6) CLINICAL STUDY. IT WAS REPORTED THAT A PATIENT UNDERWENT A RIGHT TOTAL HIP ARTHROPLASTY ON (B)(6) 2007 AND A LEFT TOTAL HIP ARTHROPLASTY ON (B)(6) 2008. DURING POST OPERATIVE MONITORING AND TESTING FLUID COLLECTIONS WERE NOTED. THE COLLECTIONS MEASURED 1.2 X 3.3 X 1.3CM ON THE LATERAL AREA OF THE RIGHT HIP AND 1.8 X 2.3 X 1.3CM ON THE LATERAL AREA OF THE LEFT HIP. THESE FINDINGS WERE FOUND DUE TO FOLLOW UP TESTING. NO FURTHER INFORMATION HAS BEEN PROVIDED AT THIS TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    291286 UNKNOWN M2A MAGNUM HIP PROSTHESIS, HIP KWA BIOMET ORTHOPEDICS N/A UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 5 YR Hospitalization| R