BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ATTUNE FEMORAL IMPACTOR

    MDR report key: 4871352 · Received June 26, 2015

    Report

    Report Number
    1818910-2015-24510
    Event Type
    Malfunction
    Date Received
    June 26, 2015
    Date of Event
    May 20, 2015
    Report Date
    June 24, 2015
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    LXH
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, 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. (B)(4). 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

    CONCLUSION AND JUSTIFICATION STATUS: THE COMPLAINT STATES IMPACTORS BROKEN AND CRACKED. ONE OF THE IMPACTORS ARE BROKEN. AND THE OTHER THREE ARE CRACKED. THE INVESTIGATION CONFIRMED THAT 2 OF THE IMPACTOR HAD BROKEN AND TWO HAD CRACKED WITH PIECES MISSING. EXPERT OPINION INDICATES THAT THE FAILURES ARE ASSOCIATED WITH ENVIRONMENTAL STRESS CRACKING (ESC). THE ATTUNE FEMORAL IMPACTOR HAS BEEN ANNEALED TO REDUCE RESIDUAL STRESSES. LAB TESTS INDICATE SIGNIFICANT REDUCTION IN RESIDUAL STRESSES OF ANNEALED SAMPLES IN COMPARISON TO UN-ANNEALED SAMPLES HOWEVER A COMPLETE REDUCTION IN STRESSES IS NOT ACHIEVABLE. THE ANNEALED PRODUCT WAS RELEASED ON 30-JUL-2014. THIS DEVICE IS FROM AN UN-ANNEALED BATCH. A FIELD SAFETY NOTICE WAS ISSUED IN NOV 2014 STATING TO REDUCE THE POSSIBILITY OF LEAVING FRAGMENTS IN PATIENTS, THE COMPANY SUGGESTS ADHERING TO THE INSTRUCTIONS FOR USE (IFU), WHICH INCLUDE INSPECTING THE IMPACTOR¿S TO ENSURE THAT NO INSTRUMENTS OR PIECES OF INSTRUMENTS ARE LEFT IN THE SURGICAL SITE PRIOR TO CLOSURE. IT SHOULD BE NOTED THAT (B)(4) HAS BEEN INITIATED AND CAN BE REFERENCED FOR FURTHER DETAILS. THE COMPLAINT SHALL BE CLOSED WITH A JUSTIFIED CONCLUSION; IT WILL BE ENTERED INTO THE COMPLAINT DATABASE AND MONITORED THROUGH TREND ANALYSIS. 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

    IMPACTORS BROKEN AND CRACKED. ONE OF THE IMPACTORS ARE BROKEN. AND THE OTHER THREE ARE CRACKED. ON (B)(6) 2015, UPON EVALUATION OF THE RETURNED IMPACTOR X2 (254401006/AU3654033) ONE DEVICE WAS FOUND TO BE BROKEN, AND ONE WAS FOUND TO BE CRACKED. IMPACTOR (254401006/AU3704961) BROKEN; IMPACTOR (254401006/3357853) BROKEN; IMPACTOR (254401006/AU3654033) BROKEN; IMPACTOR (254401006/AU3654033)) CRACKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    415407 ATTUNE FEMORAL IMPACTOR KNEE INSTRUMENT/TRIAL LXH DEPUY ORTHOPAEDICS, INC. AU3654033

    Patients

    Seq Age Sex Outcome Treatment
    1