FDA Adverse Event
Malfunction
Summary report: N
ATTUNE IMPACTION HANDLE
MDR report key: 6743415
·
Received July 26, 2017
Report
- Report Number
- 1818910-2017-21767
- Event Type
- Malfunction
- Date Received
- July 26, 2017
- Date of Event
- June 28, 2017
- Report Date
- June 28, 2017
- Manufacturer
- DEPUY ORTHOPAEDICS, INC.1818910
- Product Code
- HWA
- UDI-DI
- 10603295423324
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- HI, US
- Reporter Occupation
- HEALTH PROFESSIONAL
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.
Additional Manufacturer Narrative · 1
IT WAS REPORTED THAT THE LEVER AND SPRING WAS FOUND BROKEN IN QMC SPD DEPARTMENT. THE REPORTED EVENT HAS BEEN EVALUATED AND WILL BE MONITORED. DEPUY CONSIDERS THE INVESTIGATION CLOSED AT THIS TIME. SHOULD ADDITIONAL INFORMATION BE RECE 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
IT WAS REPORTED THAT THE LEVER AND SPRING WAS FOUND BROKEN IN QMC SPD DEPARTMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 524966 | ATTUNE IMPACTION HANDLE | KNEE INSTRUMENT/TRIAL | HWA | DEPUY ORTHOPAEDICS, INC.1818910 | NW147319 | 10603295423324 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |