FDA Adverse Event Injury Summary report: N

ATTUNE PS FEM LT SZ 6 CEM

MDR report key: 3953026 · Received July 23, 2014

Report

Report Number
1818910-2014-24077
Event Type
Injury
Date Received
July 23, 2014
Date of Event
July 1, 2014
Report Date
July 2, 2014
Manufacturer
DEPUY ORTHOPAEDICS, INC.1818910
Product Code
JWH
PMA / PMN Number
PK111433
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN

Narratives

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. 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

MEDICAL NOTES WERE RECEIVED AND TRANSFERRED TO BIOENGINEERING FOR REVIEW. A REPORT WAS RECEIVED FROM BIOENGINEERING STATING THAT THE COMPLAINT IS INCORRECTLY ATTRIBUTED TO THE IMPLANTS AND NOT THE FEMORAL TRIAL ¿ THE FRACTURE OCCURRED DURING IMPACTION OF TRIAL. NO INSTRUMENTS WERE RETURNED FOR ANALYSIS SO THE PARTS COULD NOT BE CHECKED. THE COMPLAINT WAS REPORTED TO BE PROCEDURE RELATED. NO DEVICE DEFECTS WERE REPORTED. NOTIFICATION WAS RECEIVED STATING THE FURTHER INFORMATION WITH REGARD TO THE TRIAL IS NOT AVAILABLE. AS NO PRODUCT AND LOT NUMBERS OF THE TRIAL WERE RECEIVED A COMPLAINT DATABASE SEARCH AND MANUFACTURING REVIEW COULD NOT BE CONDUCTED. WITHOUT FURTHER INFORMATION THE ROOT CAUSE OF THE COMPLAINT CANNOT BE DETERMINED. THE COMPLAINT SHALL BE CLOSED WITH AN UNDETERMINED CONCLUSION AND MONITORED THROUGH TREND ANALYSIS. IF FURTHER INFORMATION IS RECEIVED, THE COMPLAINT SHALL BE REOPENED AND 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.

Additional Manufacturer Narrative · 1

MEDICAL NOTES WERE RECEIVED AND TRANSFERRED TO BIOENGINEERING FOR REVIEW. A REPORT WAS RECEIVED FROM BIOENGINEERING STATING THAT THE COMPLAINT IS INCORRECTLY ATTRIBUTED TO THE IMPLANTS AND NOT THE FEMORAL TRIAL ¿ THE FRACTURE OCCURRED DURING IMPACTION OF TRIAL. NO INSTRUMENTS WERE RETURNED FOR ANALYSIS SO THE PARTS COULD NOT BE CHECKED. THE COMPLAINT WAS REPORTED TO BE PROCEDURE RELATED. NO DEVICE DEFECTS WERE REPORTED. NOTIFICATION WAS RECEIVED STATING THE FURTHER INFORMATION WITH REGARD TO THE TRIAL IS NOT AVAILABLE. AS NO PRODUCT AND LOT NUMBERS OF THE TRIAL WERE RECEIVED A COMPLAINT DATABASE SEARCH AND MANUFACTURING REVIEW COULD NOT BE CONDUCTED. WITHOUT FURTHER INFORMATION THE ROOT CAUSE OF THE COMPLAINT CANNOT BE DETERMINED. THE COMPLAINT SHALL BE CLOSED WITH AN UNDETERMINED CONCLUSION AND MONITORED THROUGH TREND ANALYSIS. IF FURTHER INFORMATION IS RECEIVED, THE COMPLAINT SHALL BE REOPENED AND INVESTIGATED FURTHER. 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

(B)(4). LATERAL FEMORAL CONDYLE CRACK. FIXED WITH SCREWS DURING SURGERY (B)(6) 2014. PATIENT WILL MOBILISE WITH A HINGED KNEE BRACE FOR SIX WEEKS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
430814 ATTUNE PS FEM LT SZ 6 CEM KNEE FEMORAL COMPONENT JWH DEPUY ORTHOPAEDICS, INC.1818910 7596065

Patients

Seq Age Sex Outcome Treatment
1 72 YR Required Intervention