FDA Adverse Event
Malfunction
Summary report: N
REFOBACIN BONE CEMENT R 40X1
MDR report key: 6181127
·
Received December 16, 2016
Report
- Report Number
- 3006946279-2016-00466
- Event Type
- Malfunction
- Date Received
- December 16, 2016
- Date of Event
- November 16, 2016
- Report Date
- December 15, 2016
- Manufacturer
- BIOMET FRANCE S.A.R.L.
- Product Code
- MBB
- PMA / PMN Number
- PK150850
- Removal / Correction Number
- N/A
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
UDI - (B)(4). CORRECTIVE ACTION HAS BEEN INITIATED FOR THE REPORTED ISSUE.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE STERILE PACKAGE WAS NOT FULLY SEALED. NO PATIENT INVOLVEMENT OR DELAY IN A PROCEDURE WAS REPORTED AS A RESULT OF THE EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 833114 | REFOBACIN BONE CEMENT R 40X1 | BONE CEMENT, ANTIBIOTIC | MBB | BIOMET FRANCE S.A.R.L. | N/A | A606CL0104 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |