FDA Adverse Event Injury Summary report: N

5MM REVERSE CURETTE

MDR report key: 4211818 · Received October 29, 2014

Report

Report Number
0001825034-2014-08440
Event Type
Injury
Date Received
October 29, 2014
Date of Event
October 9, 2014
Report Date
October 9, 2014
Manufacturer
BIOMET ORTHOPEDICS
Product Code
JXE
PMA / PMN Number
PK031280
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT. REVIEW OF DEVICE HISTORY RECORDS SHOW THAT LOT RELEASED WITH NO RECORDED ANOMALY RELATED TO THE EVENT. THERE ARE WARNINGS IN THE PACKAGE INSERT THAT STATE THAT THIS TYPE OF EVENT CAN OCCUR: UNDER POSSIBLE ADVERSE EFFECTS: " INTRAOPERATIVE FRACTURE OR BREAKAGE OF INSTRUMENTS HAS BEEN REPORTED. SURGICAL INSTRUMENTS ARE SUBJECT TO WEAR WITH NORMAL USAGE. INSTRUMENTS, WHICH HAVE EXPERIENCED EXTENSIVE USE OR EXCESSIVE FORCE, ARE SUSCEPTIBLE TO FRACTURE. SURGICAL INSTRUMENTS SHOULD ONLY BE USED FOR THEIR INTENDED PURPOSE. BIOMET RECOMMENDS THAT ALL INSTRUMENTS BE REGULARLY INSPECTED FOR WEAR AND DISFIGUREMENT. "

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT UNDERWENT A REVISION PROCEDURE OF COMPETITOR¿S COMPONENTS AND THE 5MM REVERSE CURETTE FRACTURED WHILE EXTRACTING BONE CEMENT. THE TIP WAS RETAINED IN THE PATIENT'S BONE CANAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
692420 5MM REVERSE CURETTE NERVE CONDUCTION VELOCITY MEASUREMENT JXE BIOMET ORTHOPEDICS N/A 670910

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention