BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EXPLOR 7X26MM IMPLANT STEM WITH SCREW

    MDR report key: 6515819 · Received April 24, 2017

    Report

    Report Number
    0001825034-2017-02546
    Event Type
    Injury
    Date Received
    April 24, 2017
    Report Date
    April 24, 2017
    Manufacturer
    BIOMET ORTHOPEDICS
    Product Code
    KWI
    PMA / PMN Number
    PK051385
    Removal / Correction Number
    N/A
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(6). INITIAL REPORTER - THE ARTICLE WAS WRITTEN BY SCHUYLER J HALVERSON, MIHIR J DESAI AND DONALD H LEE. THE COMPLAINT DEVICE IS NOT EXPECTED FOR RETURN CURRENTLY, BUT A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED UPON RECEIPT OF ADDITIONAL INFORMATION. HALVERSON ET AL. "CLINICAL OUTCOMES OF BIOMET EXPLOR MODULAR RADIAL HEAD ARTHROPLASTY SYSTEM" 37:853-858. PG. 1-33. THE REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER. A DEVICE HISTORY RECORD REVIEW WAS UNABLE TO BE PERFORMED AS THE LOT NUMBER OF THE DEVICE INVOLVED IN THE EVENT IS UNKNOWN. A COMPLAINT HISTORY REVIEW WAS UNABLE TO BE PERFORMED AS THE PART AND LOT NUMBERS ARE UNKNOWN. A ROOT CAUSE WAS UNABLE TO BE DETERMINED AS THE NECESSARY INFORMATION TO ADEQUATELY INVESTIGATE THE REPORTED EVENT WAS NOT PROVIDED. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS:0001825034-2017-02373.

    Description of Event or Problem · 1

    IT WAS REPORTED IN A JOURNAL ARTICLE THAT THE PATIENT EXPERIENCED MILD ELBOW AND WRIST PAIN APPROXIMATELY 38 MONTHS POST-IMPLANTATION OF A RIGHT RADIAL HEAD ARTHROPLASTY. NO FURTHER INFORMATION IS AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    298028 EXPLOR 7X26MM IMPLANT STEM WITH SCREW PROSTHESIS, SHOULDER KWI BIOMET ORTHOPEDICS N/A NI

    Patients

    Seq Age Sex Outcome Treatment
    1 35 YR Other