FDA Adverse Event Malfunction Summary report: N

ATTUNE FB TIBIAL IMPACTOR

MDR report key: 5364358 · Received January 13, 2016

Report

Report Number
1818910-2016-10689
Event Type
Malfunction
Date Received
January 13, 2016
Date of Event
January 6, 2016
Report Date
January 21, 2016
Manufacturer
DEPUY ORTHOPAEDICS, INC.
Product Code
HWA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

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

Additional Manufacturer Narrative · 1

CONCLUSION AND JUSTIFICATION STATUS: THE COMPLAINT STATES BREAKAGE OF INSTRUMENT. NO PART REMAINING IN PATIENT. THE INVESTIGATION CONFIRMED THAT THE IMPACTOR HAD BROKEN EXPERT OPINION INDICATES THAT THE FAILURES ARE ASSOCIATED WITH ENVIRONMENTAL STRESS CRACKING (ESC). THE ATTUNE FB TIBIAL 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. THIS DEVICE IS FROM AN ANNEALED BATCH. A FIELD SAFETY NOTICE WAS ISSUED IN (B)(6) 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 CAPA-003835 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 STILL 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

(B)(4). THIS COMPLAINT IS UNDER INVESTIGATION. DEPUY WILL NOTIFY THE FDA OF THE RESULTS OF THE 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.

Description of Event or Problem · 1

BREAKAGE OF INSTRUMENT. NO PART REMAINING IN PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
23389 ATTUNE FB TIBIAL IMPACTOR KNEE INSTRUMENT/TRIAL HWA DEPUY ORTHOPAEDICS, INC. AU3207735

Patients

Seq Age Sex Outcome Treatment
1