FDA Adverse Event Injury Summary report: N

ATTUNE CR RP INSRT SZ 7 5MM

MDR report key: 12907960 · Received December 1, 2021

Report

Report Number
1818910-2021-26607
Event Type
Injury
Date Received
December 1, 2021
Date of Event
November 8, 2021
Report Date
December 1, 2021
Manufacturer
DEPUY IRELAND - 9616671
Product Code
NJL
UDI-DI
10603295047988
PMA / PMN Number
P830055
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PRODUCT COMPLAINT # (B)(4). INVESTIGATION SUMMARY : NO DEVICE ASSOCIATED WITH THIS REPORT WAS RECEIVED FOR EXAMINATION. THE INFORMATION RECEIVED WILL BE RETAINED FOR POTENTIAL SERIES INVESTIGATIONS IF TRIGGERED BY TREND ANALYSIS, POST MARKET SURVEILLANCE, OR OTHER EVENTS WITHIN THE QUALITY SYSTEM. DEPUY CONSIDERS THE INVESTIGATION CLOSED. SHOULD ADDITIONAL INFORMATION BE RECEIVED, THE INFORMATION WILL BE REVIEWED AND THE INVESTIGATION WILL BE RE-OPENED AS NECESSARY. DEVICE HISTORY LOT : THE PRODUCT INVESTIGATION FOUND NO EVIDENCE SUSPECTING AN ERROR IN THE MANUFACTURING OR MATERIAL THAT WOULD BE A CONTRIBUTING FACTOR IN THE REPORTED ALLEGATION(S). A MANUFACTURING RECORDS EVALUATION (MRE) WAS NOT PERFORMED.

Additional Manufacturer Narrative · 0

PRODUCT COMPLAINT # (B)(4). INVESTIGATION SUMMARY: NO DEVICE ASSOCIATED WITH THIS REPORT WAS RECEIVED FOR EXAMINATION. THE INFORMATION RECEIVED WILL BE RETAINED FOR POTENTIAL SERIES INVESTIGATIONS IF TRIGGERED BY TREND ANALYSIS, POST MARKET SURVEILLANCE, OR OTHER EVENTS WITHIN THE QUALITY SYSTEM. DEPUY CONSIDERS THE INVESTIGATION CLOSED. SHOULD ADDITIONAL INFORMATION BE RECEIVED, THE INFORMATION WILL BE REVIEWED AND THE INVESTIGATION WILL BE RE-OPENED AS NECESSARY. DEVICE HISTORY LOT : DHR REVIEW WAS PERFORMED : DETAILS ARE AS FOLLOWS. 1) QUANTITY MANUFACTURED: 18 PARTS WERE MANUFACTURED PER SPECIFICATION AND ALL RAW MATERIALS MET SPECIFICATION 2) DATE OF MANUFACTURE: 05-JUNE-2018 3) ANY ANOMALIES OR DEVIATIONS IDENTIFIED IN DHR: 1 NONCONFORMANCE IS ASSOCIATED WITH THIS LOT: NR-0102929 IS RELATED TO AN ISSUE IDENTIFIED WITH THE SURFACE FINISH OF THE PARTS WHEN CARRYING OUT IN-PROCESS FIRST OFF SURFACE FINISH INSPECTIONS AT THE MACHINE STEP AS PER SWS-0003 (ATTUNE CR INSERTS MACHINE & INSPECT, REV. 18) AND TM-100743 (PART CONDITION & SURFACE FINISH INSPECTION - ATTUNE INSERTS, REV. 7). PRODUCT ISSUE ASSESSMENT (PIA) 1236841 OUTCOME WAS LOW/ NO PATIENT IMPACT. ALL PRODUCTS WERE DISPOSITIONED AS ¿USE AS IS¿. THERE IS NO CORRELATION BETWEEN THIS NON-CONFORMANCE AND THE FAILURE MODE OF THE COMPLAINT. 4) EXPIRY DATE: 31 MAY 2023 5) IFU REFERENCE: (B)(4).

Additional Manufacturer Narrative · 0

PRODUCT COMPLAINT # (B)(4). THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY DEPUY SYNTHES JOINT RECONSTRUCTION, OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, DEPUY SYNTHES JOINT RECONSTRUCTION, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative · 0

PRODUCT COMPLAINT # (B)(4). THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY DEPUY SYNTHES JOINT RECONSTRUCTION, OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, DEPUY SYNTHES JOINT RECONSTRUCTION, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. H11 ADDITIONAL NARRATIVE: ADDED: B5, D3 (MANUFACTURER EMAIL), D10 (CONCOMITANT). IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative · 0

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 · 0

CLINICAL DATABASE SPECIFIES FEMORAL STEM, TIBIAL INSERT, TIBIAL BASE, TIBIAL STEM, AND TIBIAL SLEEVE WERE REMOVED. ALL THE PRIMARY IMPLANTS WILL BE CODED FOR INFECTION. THE NEWLY REVISED INSERT WILL NOT BE CODED AS INFECTION AS IT IS NOT LIKELY TO HAVE CONTRIBUTED TO THE ORIGINAL INFECTION.

Description of Event or Problem · 0

ADDITIONAL INFORMATION RECEIVED: TREATMENT/IMPACT: HOSPITALIZATION (INITIAL OR PROLONGED): YES.

Description of Event or Problem · 0

(B)(6). CLINICAL ADVERSE EVENT RECEIVED FOR LOW GRADE INFECT OF THE LEFT KNEE EVENT IS SERIOUS AND IS CONSIDERED MODERATE EVENT IS POSSIBLY RELATED TO DEVICE AND IS POSSIBLY RELATED TO PROCEDURE. DATE OF IMPLANTATION: (B)(6) 2019. DATE OF EVENT (ONSET): (B)(6) 2021. (LEFT KNEE). TREATMENT: IRRIGATION & DEBRIDEMENT WITH REVISION INSERT EXCHANGE ON (B)(6) 2021.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
259356 ATTUNE CR RP INSRT SZ 7 5MM ATTUNE IMPLANT : KNEE TIBIAL INSERT NJL DEPUY IRELAND - 9616671 1516-30-705 8825424 10603295047988

Patients

Seq Age Sex Outcome Treatment
1 36 YR Male Required Intervention ATTUNE CR FEM LT SZ 7 CEM| ATTUNE CR FEM LT SZ 7 CEM| ATTUNE CR RP INSRT SZ 7 5MM| ATUN TIB SLV M/L 37MM HALF POR| ATUN TIB SLV M/L 37MM HALF POR| ATUNE PRESSFIT STR STEM16X60MM| ATUNE PRESSFIT STR STEM16X60MM| ATUNE REV RP TIB BASE SZ 5 CEM| ATUNE REV RP TIB BASE SZ 5 CEM| SMARTSET GHV GENTAMICIN 20G| SMARTSET GHV GENTAMICIN 20G| SMARTSET GHV GENTAMICIN 40G| SMARTSET GHV GENTAMICIN 40G| UNK ATTUNE KNEE TIBIAL INSERT