FDA Adverse Event Malfunction Summary report: N

COMPRESS FACE REAMER LARGE

MDR report key: 4093794 · Received September 16, 2014

Report

Report Number
0001825034-2014-07747
Event Type
Malfunction
Date Received
September 16, 2014
Date of Event
May 12, 2014
Report Date
September 11, 2014
Manufacturer
BIOMET ORTHOPEDICS
Product Code
HTO
PMA / PMN Number
PEXEMPT
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

EXAMINATION OF RETURNED DEVICE FOUND EVIDENCE OF PRODUCT NON-CONFORMANCE. CORRECTIVE ACTIONS HAVE BEEN INITIATED TO ADDRESS THE REPORTED ISSUE. THE FOLLOWING SECTIONS COULD NOT BE COMPLETED WITH THE LIMITED INFORMATION PROVIDED. INITIAL REPORTER - UNKNOWN.

Description of Event or Problem · 1

IT WAS REPORTED ON (B)(6) 2014 THAT THE REAMER WAS STRAIGHT AND DID NOT HAVE THE BEVEL AS REQUIRED. THIS ISSUE WAS NOTED PRIOR TO A PROCEDURE AND THE INSTRUMENT WAS NOT ATTEMPTED FOR USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
573732 COMPRESS FACE REAMER LARGE REAMER HTO BIOMET ORTHOPEDICS N/A 392410

Patients

Seq Age Sex Outcome Treatment
1