FDA Adverse Event Injury Summary report: N

ATTUNE FB TIB BASE SZ 7 CEM

MDR report key: 3760980 · Received April 21, 2014

Report

Report Number
1818910-2014-17143
Event Type
Injury
Date Received
April 21, 2014
Date of Event
April 4, 2014
Report Date
April 4, 2014
Manufacturer
DEPUY IRELAND REG. # 9616671
Product Code
JWH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ADDITIONAL NARRATIVE: THIS COMPLAINT IS STILL UNDER INVESTIGATION. DEPUY WILL NOTIFY THE FDA OF THE RESULTS OF THIS INVESTIGATION ONCE IT HAS BEEN COMPLETED.

Additional Manufacturer Narrative · 1

THIS COMPLAINT IS STILL UNDER INVESTIGATION. DEPUY WILL NOTIFY THE FDA OF THE RESULTS OF THIS INVESTIGATION ONCE IT HAS BEEN COMPLETED.

Additional Manufacturer Narrative · 1

THE INVESTIGATION COULD NOT CONFIRM THE REPORTED PATIENT KNEE INFECTION WITH THE INFORMATION AVAILABLE. REQUESTS FOR ADDITIONAL INVESTIGATIONAL INPUTS WERE MADE IN ACCORDANCE WITH (B)(4) APPENDIX A. NO ADDITIONAL INFORMATION WAS OBTAINED. THE INVESTIGATION COULD NOT DRAW ANY CONCLUSIONS ABOUT THE ROOT CAUSE OF THE PATIENT ONGOING KNEE INFECTION. NO EVIDENCE WAS FOUND SUGGESTING PRODUCT ERROR WAS A CONTRIBUTING FACTOR AND THE NEED FOR CORRECTIVE ACTION IS NOT INDICATED. DEPUY CONSIDERS THE INVESTIGATION CLOSED AT THIS TIME. SHOULD ADDITIONAL INFORMATION BE RECEIVED, THE INFORMATION WILL BE REVIEWED AND THE INVESTIGATION WILL BE RE-OPENED AS NECESSARY.

Description of Event or Problem · 1

PATIENT HAD PREVIOUSLY HAD THE TIBIAL INSERT EXCHANGED (B)(4) AND HAS NOW GONE ON TO HAVE ALL COMPONENTS OF THE ATTUNE KNEE REMOVED DUE TO INFECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
240539 ATTUNE FB TIB BASE SZ 7 CEM KNEE TIBIAL TRAY JWH DEPUY IRELAND REG. # 9616671 3601701

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention