VANGUARD PS POST N/A 32-483900

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2009-06-05 for VANGUARD PS POST N/A 32-483900 manufactured by Biomet Orthopedics.

Event Text Entries

[18348240] Current information is insufficient to permit a conclusion as to the cause of the event. The lot number information needed to review device history records was unavailable. Expiration date - unknown age of device - unknown device mfr. Date - unknown other - it is not known if the device was used appropriately, however, it was evaluated and found to be conforming and within specification. The mating component was also found to be conforming and met specification. This report filed june 5, 2009.
Patient Sequence No: 1, Text Type: N, H10


[18374996] It was reported that patient underwent total knee arthroplasty utilizing a tibial bearing trial and ps post in 2009. The ps post released from trial during removal from the knee joint and fell into the incision without doctor or surgical team noticing. It was noticed on the post-op x-ray and the patient was taken back to the o. R. For removal of post.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1825034-2009-00102
MDR Report Key1398541
Report Source07
Date Received2009-06-05
Date of Report2009-05-07
Date of Event2009-04-10
Report Date2009-05-07
Date Reported to Mfgr2009-05-07
Date Mfgr Received2009-05-07
Date Added to Maude2009-06-05
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMRS. MIRANDA PARCELS
Manufacturer Street56 EAST BELL DRIVE P.O. BOX 587
Manufacturer CityWARSAW IN 465810587
Manufacturer CountryUS
Manufacturer Postal465810587
Manufacturer Phone5742676639
Manufacturer G1BIOMET ORTHOPEDICS
Manufacturer Street56 EAST BELL DRIVE P.O. BOX 587
Manufacturer CityWARSAW IN 46581058
Manufacturer CountryUS
Manufacturer Postal Code46581 0587
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameVANGUARD PS POST
Generic NameDEVICE, INSTRUMENT, ALIGNMENT
Product CodeIQO
Date Received2009-06-05
Returned To Mfg2009-05-07
Model NumberN/A
Catalog Number32-483900
Lot NumberUNKNOWN
ID NumberN/A
OperatorPHYSICIAN
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBIOMET ORTHOPEDICS
Manufacturer Address56 EAST BELL DRIVE P.O. BOX 587 WARSAW IN 46581058 US 46581 0587


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Required No Informationntervention 2009-06-05

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