BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ZIMMER BIOMET

    MDR report key: 6830526 · Received August 30, 2017

    Report

    Report Number
    MW5071839
    Event Type
    Malfunction
    Date Received
    August 30, 2017
    Date of Event
    August 25, 2017
    Report Date
    August 28, 2017
    Manufacturer
    BIOMET
    Product Code
    LXH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    BONE REDUCTION FORCEPS NOTED TO HAVE A BROKEN PIECE OF THE JAW.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    612902 ZIMMER BIOMET BONE REDUCTION FORCEPS LXH BIOMET 9399 031

    Patients

    Seq Age Sex Outcome Treatment
    1 30 YR