FDA Adverse Event Malfunction Summary report: N

ATTUNE FB TIBIAL IMPACTOR

MDR report key: 6744259 · Received July 26, 2017

Report

Report Number
1818910-2017-21810
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
10603295130192
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
HI, 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.

Additional Manufacturer Narrative · 1

IT WAS REPORTED THAT TIBIAL IMPACTOR 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 RECEIVED, THE INFORMATION WILL BE REVIEWED AND THE INVESTIGATION WILL BE RE-OPENED AS NECESSARY 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 TIBIAL IMPACTOR WAS FOUND BROKEN IN (B)(6) SPD DEPARTMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
525690 ATTUNE FB TIBIAL IMPACTOR KNEE INSTRUMENT/TRIAL HWA DEPUY ORTHOPAEDICS, INC.1818910 AU3357846 10603295130192

Patients

Seq Age Sex Outcome Treatment
1