FDA Adverse Event Injury Summary report: N

ATTUNE CR FEM RT SZ 8 CEM

MDR report key: 3893690 · Received June 25, 2014

Report

Report Number
1818910-2014-21922
Event Type
Injury
Date Received
June 25, 2014
Date of Event
June 5, 2014
Report Date
June 5, 2014
Manufacturer
DEPUY-RAYNHAM 1219655
Product Code
JWH
PMA / PMN Number
PK101433
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE. 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 IDENTIFIED NO ISSUES WHICH MAY HAVE CONTRIBUTED TO THE REPORTED INCIDENT. THE COMPLAINT SHALL BE CLOSED WITH AN UNDETERMINED CONCLUSION; IT SHALL BE ENTERED ONTO THE COMPLAINTS DATABASE AND MONITORED THROUGH TREND ANALYSIS. SHOULD FURTHER INFORMATION BE PROVIDED, THEN THE COMPLAINT SHALL BE INVESTIGATED FURTHER. 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. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative · 1

DEPUY STILL CONSIDERS THE INVESTIGATION CLOSED. 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 KNEE BECAME INFECTED FOLLOWING ATTUNE TKR. REVISION SURGERY WAS DONE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
370512 ATTUNE CR FEM RT SZ 8 CEM KNEE FEMORAL COMPONENT JWH DEPUY-RAYNHAM 1219655 459857

Patients

Seq Age Sex Outcome Treatment
1 73 YR Required Intervention