FDA Adverse Event Injury Summary report: N

ATUNE PRESSFIT STR STEM22X60MM

MDR report key: 14655675 · Received June 10, 2022

Report

Report Number
1818910-2022-10650
Event Type
Injury
Date Received
June 10, 2022
Date of Event
May 1, 2021
Report Date
June 10, 2022
Manufacturer
DEPUY IRELAND - 9616671
Product Code
JWH
UDI-DI
10603295043843
PMA / PMN Number
P830055
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
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. 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

SUBJECT ID: (B)(6). STUDY: DSJ-2016-02 NEW. CLINICAL ADVERSE EVENT RECEIVED FOR RIGHT KNEE LIMITED RANGE OF MOTION. EVENT IS SERIOUS AND IS CONSIDERED MODERATE. EVENT IS POSSIBLY RELATED TO BOTH DEVICE AND PROCEDURE. DATE OF IMPLANT: (B)(6) 2021. DATE OF EVENT: UNK MAY 2021. AFFECTED AREA: (RIGHT KNEE). TREATMENT: AWAITING MANIPULATION UNDER ANESTHESIA

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2155647 ATUNE PRESSFIT STR STEM22X60MM KNEE STEMS JWH DEPUY IRELAND - 9616671 1513-22-060 HG8143 10603295043843

Patients

Seq Age Sex Outcome Treatment
1 71 YR Female Required Intervention ATTUN REV OFFST STM ADPTR 4MM| ATTUN REV OFFST STM ADPTR 4MM| ATTUNE CRS FB INSRT SZ 7 16MM| ATTUNE CRS FEMORAL RT SZ 7 CEM| ATTUNE DIST FEM AUG SZ 7 4MM| ATTUNE DIST FEM AUG SZ 7 4MM| ATTUNE MEDIAL DOME PAT 38MM| ATTUNE POS FEM AUG SZ 7 8MM| ATTUNE POS FEM AUG SZ 7 8MM| ATUN PRESSFIT STR STEM24X110MM| ATUNE CRS FB TIB BASE SZ 6 CEM| ATUNE PRESSFIT STR STEM22X60MM| COMPETITOR CEMENT MANUFACTURER (STRYKER)| COMPETITOR CEMENT MANUFACTURER (STRYKER)