BEUDAMED
    FDA Adverse Event Other Summary report: N

    BIOMET

    MDR report key: 748938 · Received August 3, 2005

    Report

    Report Number
    MW1036240
    Event Type
    Other
    Date Received
    August 3, 2005
    Date of Event
    November 10, 2004
    Manufacturer
    BIOMET ORTHOPEDIC
    Product Code
    KWY
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IN 1992 THE PATIENT UNDERWENT A TOTAL HIP ARTHROPLASTY AND WAS DISCHARGED WITHOUT ANY COMPLICATIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BIOMET INTEGRAL CENTRALIZER FEMORAL W/ NTS 15 X 155MM KWY BIOMET ORTHOPEDIC DEVICE PART # 11-162654 196740

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Other