FDA Adverse Event Injury Summary report: N

ATTUNE MES SIZING/ROT GDE

MDR report key: 6113722 · Received November 18, 2016

Report

Report Number
1818910-2016-31781
Event Type
Injury
Date Received
November 18, 2016
Date of Event
December 7, 2015
Report Date
November 14, 2016
Manufacturer
DEPUY ORTHOPAEDICS, INC. 1818910
Product Code
HWT
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. (B)(4). DEPUY SYNTHES HAS BEEN INFORMED THAT THE LOT NUMBER IS NOT AVAILABLE.

Additional Manufacturer Narrative · 1

NO DEVICE ASSOCIATED WITH THIS REPORT WAS RECEIVED FOR EXAMINATION. THE INVESTIGATION COULD NOT DRAW ANY CONCLUSIONS REGARDING THE REPORTED EVENT. BASED ON THE INABILITY TO DETERMINE A ROOT CAUSE, THE NEED FOR CORRECTIVE ACTION WAS NOT INDICATED. DEPUY CONSIDERS THE INVESTIGATION CLOSED AT THIS TIME. SHOULD THE 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 CORRESPONDENCE STATES: PATIENT'S FEMUR FRACTURED IN PRIMARY SURGERY WHEN THE ALIGNMENT TOOL WAS BEING USED. THE SURGEON DID NOT NOTIFY HIM OF THE FRACTURE, SO HE TRIED TO REHAB ON THE BROKEN BONE AND IT CAUSED PAIN WHICH LED TO THEM REVISING IT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
763432 ATTUNE MES SIZING/ROT GDE KNEE FEMORAL COMPONENT HWT DEPUY ORTHOPAEDICS, INC. 1818910 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 61 YR Required Intervention