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