Brand Name | REFOBACIN BONE CEMENT R 40X1 |
Type of Device | BONE CEMENT, ANTIBIOTIC |
Manufacturer (Section D) |
BIOMET FRANCE S.A.R.L. |
plateau de lautagne bp75 |
valence cedex 26903 |
FR 26903 |
|
Manufacturer (Section G) |
BIOMET FRANCE S.A.R.L. |
plateau de lautagne bp75 |
|
valence cedex 26903 |
FR
26903
|
|
Manufacturer Contact |
christina
arnt
|
56 e. bell dr. |
warsaw, IN 46582
|
5745273773
|
|
MDR Report Key | 6181127 |
MDR Text Key | 62688250 |
Report Number | 3006946279-2016-00466 |
Device Sequence Number | 1 |
Product Code |
MBB
|
Combination Product (y/n) | N |
Reporter Country Code | FR |
PMA/PMN Number | PK150850 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
foreign,health professional |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
12/15/2016 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 12/16/2016 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Physician
|
Device Expiration Date | 01/31/2019 |
Device Model Number | N/A |
Device Catalogue Number | 4003940001 |
Device Lot Number | A606CL0104 |
Other Device ID Number | SEE NARRATIVE IN H10 |
Was Device Available for Evaluation? |
No
|
Date Manufacturer Received | 11/16/2016 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 07/28/2016 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Removal/Correction Number | N/A |
Patient Sequence Number | 1 |