FDA Adverse Event Other Summary report: N

BIOSTEON SCREW

MDR report key: 731826 · Received July 5, 2006

Report

Report Number
9617083-2006-00002
Event Type
Other
Date Received
July 5, 2006
Date of Event
June 5, 2006
Report Date
June 30, 2006
Manufacturer
BIOCOMPOSITES LTD
Product Code
HWC
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

NO COMPLICATIONS WERE REPORTED DURING THE SURGERY. THE SCREW WAS REMOVED BECAUSE IT CAME LOOSE. THERE WAS ALSO A SLIGHT INFECTION. THE ACL WAS INTACT AND THE SCREW WAS INTACT WHEN IT WAS REMOVED.

Description of Event or Problem · 1

SCREW REMOVED AS IT HAD BECOME LOOSE. INFECTION ALSO PRESENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BIOSTEON SCREW ACL SCREW HWC BIOCOMPOSITES LTD * 07/05-PH286

Patients

Seq Age Sex Outcome Treatment
1 * Required Intervention