BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BIOMET INC.

    MDR report key: 480783 · Received August 20, 2003

    Report

    Report Number
    MW1029369
    Event Type
    Injury
    Date Received
    August 20, 2003
    Date of Event
    July 24, 2003
    Report Date
    August 20, 2003
    Manufacturer
    BIOMET, INC.
    Product Code
    JDL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT UNDERGOING TOTAL HIP REPLACEMENT SURGERY, FOUND DURING THE PROCEDURE THAT THE ACETABULAR LINER WAS WORN AND BROKEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BIOMET INC. ACETABULAR LINER JDL BIOMET, INC. * 707030

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Required Intervention