FDA Adverse Event
Malfunction
Summary report: N
TOTAL JOINT PROSTHESIS, FEMORAL STEM
MDR report key: 32200
·
Received March 29, 1996
Report
- Report Number
- 32200
- Event Type
- Malfunction
- Date Received
- March 29, 1996
- Date of Event
- March 5, 1996
- Report Date
- March 5, 1996
- Manufacturer
- BIOPRO, INC.
- Product Code
- KWY
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MI, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
BROKEN FEMORAL STEM, TOTAL STEM LENGTH = 8 1/4". STEM BROKEN HORIZONTALLY 4 1/2" FROM DISTAL TIP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TOTAL JOINT PROSTHESIS, FEMORAL STEM Implant | FEMORAL STEM | KWY | BIOPRO, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 YR |