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 |