FDA Adverse Event Injury Summary report: N

BIOMET BONE CEMENT V

MDR report key: 6138126 · Received December 1, 2016

Report

Report Number
3006946279-2016-00451
Event Type
Injury
Date Received
December 1, 2016
Date of Event
January 1, 2008
Report Date
November 30, 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. THE FOLLOWING COULD NOT BE COMPLETED WITH THE LIMITED INFORMATION PROVIDED IN THE ARTICLE: DATE OF EVENT - NI, EXPIRATION DATE - NI, DATE IMPLANTED - NI, DATE EXPLANTED - NI, INITIAL REPORTER - (B)(6). THIS PRODUCT IS NOT CLEARED FOR DISTRIBUTION IN THE U.S.; HOWEVER, A PRODUCT MARKETED BY ZIMMER BIOMET IS CLEARED FOR DISTRIBUTION IN THE U.S. UNDER 510K NUMBER K150850. MANUFACTURE DATE ¿ NI.

Description of Event or Problem · 1

IT WAS REPORTED IN A JOURNAL ARTICLE THAT ONE PATIENT EXPERIENCED LIMB MOTOR DEFICIT RELATED TO CEMENT LEAKAGE CLOSE TO THE S1 NERVE ROOT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
789692 BIOMET BONE CEMENT V BONE CEMENT, ANTIBIOTIC MBB BIOMET FRANCE S.A.R.L. N/A NI

Patients

Seq Age Sex Outcome Treatment
1 Other