BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BIOMET

    MDR report key: 602293 · Received May 9, 2005

    Report

    Report Number
    MW1035421
    Event Type
    Malfunction
    Date Received
    May 9, 2005
    Date of Event
    April 18, 2005
    Report Date
    May 9, 2005
    Manufacturer
    BIOMET
    Product Code
    KWB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IN, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT CAME TO SEE SURGEON AFTER EXPERIENCING A "POP" IN HIP. A REVISION OF TOTAL HIP PROCEDURE PERFORMED IN 1996 WAS PERFORMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BIOMET RINGLOC ACETABULAR LINER 28MM 10 DEGREE SIZE 22 KWB BIOMET * 026750

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR