FDA Adverse Event Injury Summary report: N

BIOMET BONE CEMENT V

MDR report key: 6137641 · Received December 1, 2016

Report

Report Number
3006946279-2016-00447
Event Type
Injury
Date Received
December 1, 2016
Report Date
October 19, 2016
Manufacturer
BIOMET FRANCE S.A.R.L.
Product Code
MBB
PMA / PMN Number
PN/A
Removal / Correction Number
N/A
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT. THE PRODUCT IDENTIFICATION NECESSARY TO REVIEW MANUFACTURING HISTORY WAS NOT PROVIDED. (B)(6). THIS DEVICE IS NOT CLEARED FOR DISTRIBUTION IN THE UNITED STATES; HOWEVER, A SIMILAR DEVICE MANUFACTURED BY ZIMMER BIOMET IS CLEARED IN THE UNITED STATES UNDER 510K NUMBER K150850.

Description of Event or Problem · 1

IT WAS REPORTED IN A JOURNAL ARTICLE THAT A PATIENT EXPERIENCED LEAKAGE OF CEMENT INTO THE VETEBRAL CANAL, REQUIRING SURGICAL DECOMPRESSION FOR RELIEF OF THE RADICULAR PAIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
788397 BIOMET BONE CEMENT V BONE CEMENT, ANTIBIOTIC MBB BIOMET FRANCE S.A.R.L. N/A NI

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention