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 |