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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIOMET MICROFIXATION LORENZ TITANIUM FRACTURE / RECONSTRUCTION PLATING SYSTEM; BONE, SCREW 2.7 X 8 MM HIGH TORQUE CROSS-DRIVE SCREW

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BIOMET MICROFIXATION LORENZ TITANIUM FRACTURE / RECONSTRUCTION PLATING SYSTEM; BONE, SCREW 2.7 X 8 MM HIGH TORQUE CROSS-DRIVE SCREW Back to Search Results
Model Number N/A
Device Problem Noise, Audible (3273)
Patient Problems Limited Mobility Of The Implanted Joint (2671); No Code Available (3191)
Event Type  Injury  
Manufacturer Narrative
The warnings in the package insert state this type of event can occur.The product remains implanted in the patient and therefore will not be returned for an evaluation.Because the lot number is unknown, the device history records could not be pulled and reviewed.Current information is insufficient to permit a valid conclusion about the cause of this event.If additional information is obtained that adds value to the relevant content of this report and/or a conclusion can be drawn, a follow-up report will be sent.This is report five of nine for the same event.Reports one through nine are reported on mfr #0001032347-2017-00532 through 0001032347-2017-00540.
 
Event Description
The patient stated he will have to have a revision surgery to implant custom joints because his left joint squeaks and he has limited opening.More information was requested but has yet to be received.
 
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Brand Name
LORENZ TITANIUM FRACTURE / RECONSTRUCTION PLATING SYSTEM
Type of Device
BONE, SCREW 2.7 X 8 MM HIGH TORQUE CROSS-DRIVE SCREW
Manufacturer (Section D)
BIOMET MICROFIXATION
1520 tradeport drive
jacksonville FL 32218
Manufacturer (Section G)
BIOMET MICROFIXATION
1520 tradeport drive
jacksonville FL 32218
Manufacturer Contact
michelle cole
1520 tradeport drive
jacksonville, FL 32218
9047414400
MDR Report Key6689309
MDR Text Key79149028
Report Number0001032347-2017-00536
Device Sequence Number1
Product Code HWC
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
PK001238
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,consum
Reporter Occupation Patient
Type of Report Initial
Report Date 07/06/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/06/2017
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Device Unattended
Device Model NumberN/A
Device Catalogue Number91-2708
Device Lot NumberUNKNOWN
Other Device ID NumberN/A
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Date Manufacturer Received06/09/2017
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage N
Removal/Correction NumberN/A
Patient Sequence Number1
Patient Outcome(s) Hospitalization; Required Intervention;
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