FDA Adverse Event
Malfunction
Summary report: N
PW BONE FILE
MDR report key: 10606625
·
Received September 30, 2020
Report
- Report Number
- 1818910-2020-21218
- Event Type
- Malfunction
- Date Received
- September 30, 2020
- Date of Event
- September 25, 2020
- Report Date
- September 14, 2020
- Manufacturer
- DEPUY ORTHOPAEDICS INC US
- Product Code
- HTP
- UDI-DI
- 10603295216520
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 0
PRODUCT COMPLAINT #: (B)(4). INVESTIGATION SUMMARY: THE DEVICE ASSOCIATED WITH THIS REPORT WAS NOT RETURNED, THUS THE REPORTED EVENT COULD NOT BE CONFIRMED. THE INVESTIGATION COULD NOT VERIFY OR IDENTIFY ANY PRODUCT CONTRIBUTION TO THE REPORTED EVENT WITH THE INFORMATION PROVIDED. DEPUY SYNTHES CONSIDERS THE INVESTIGATION CLOSED AT THIS TIME. SHOULD ADDITIONAL INFORMATION BE RECEIVED, THE INFORMATION WILL BE REVIEWED AND THE INVESTIGATION MAY BE RE-OPENED AS NECESSARY.
Additional Manufacturer Narrative · 1
PRODUCT COMPLAINT # (B)(4). IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.
Description of Event or Problem · 1
HOSPITAL CONSIGNED UNIVERSAL BONE FILES HAS REACHED ITS POINT OF DULLNESS AND REQUIRES REPLACEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1070812 | PW BONE FILE | KNEE INSTRUMENT : CUTTING INSTRUMENTS | HTP | DEPUY ORTHOPAEDICS INC US | 86-4348 | 10603295216520 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |