BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LORENZ ULTRA-MICRO TITANIUM OSTEOSYNTHESIS SYSTEM

    MDR report key: 5870094 · Received August 11, 2016

    Report

    Report Number
    0001032347-2016-00398
    Event Type
    Injury
    Date Received
    August 11, 2016
    Date of Event
    July 1, 2016
    Report Date
    July 13, 2016
    Manufacturer
    BIOMET MICROFIXATION
    Product Code
    JEY
    PMA / PMN Number
    PK910038
    Removal / Correction Number
    N/A
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    HEALTH PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    THE PRODUCT WAS NOT RETURNED FOR AN EVALUATION, HOWEVER AN EVALUATION OF THE COMPLAINT WAS CONDUCTED. BASED ON THE EVALUATION, WAS UPDATED TO REFLECT THE OPERATIONAL PROBLEM OF: "PARTS DON'T MOVE FREELY." THIS IS REPORT FOUR OF FIVE FOR THE SAME EVENT. REPORTS ONE THROUGH THREE, AND FIVE ARE REPORTED ON 1032347-2016-00395-1 THROUGH 1032347-2016-00397-1, AND 1032347-2016-00399-1.

    Additional Manufacturer Narrative · 1

    IT WAS REPORTED THE PATIENT IS IN IN JAIL AND THE SURGEON BELIEVES THE EVENT WAS DUE TO THE PATIENT NOT HAVING ACCESS TO ORAL CARE. THE LOT NUMBER IS UNKNOWN; THEREFORE THE DEVICE HISTORY RECORDS ARE UNABLE TO BE REVIEWED. THE WARNINGS IN THE PACKAGE INSERT STATE THIS TYPE OF EVENT CAN OCCUR. IF ADDITIONAL INFORMATION IS OBTAINED THAT ADDS VALUE TO THE RELEVANT CONTENT OF THIS REPORT A FOLLOW-UP REPORT WILL BE SENT. REPORT FOUR OF FIVE FOR THE SAME EVENT, REFERENCE 1032347-2016-00395 THROUGH 1032347-2016-00399.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT ALL PREVIOUSLY IMPLANTED PRODUCTS WERE RE-IMPLANTED INTO THE PATIENT ONCE THE PATIENT'S CONDITION WAS RESOLVED.

    Description of Event or Problem · 1

    A REVISION SURGERY WAS REPORTED DUE TO ANKYLOSIS OVER THE JOINT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    521168 LORENZ ULTRA-MICRO TITANIUM OSTEOSYNTHESIS SYSTEM 2.0X7MM FOSSA X-DR SCREW JEY BIOMET MICROFIXATION N/A UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R