FDA Adverse Event Malfunction Summary report: N

ATTUNE SPACER BLOCK

MDR report key: 7024437 · Received November 13, 2017

Report

Report Number
1818910-2017-28819
Event Type
Malfunction
Date Received
November 13, 2017
Date of Event
October 16, 2017
Report Date
December 14, 2017
Manufacturer
DEPUY IRELAND 961610 
Product Code
HWT
UDI-DI
10603295395379
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

ADDITIONAL NARRATIVE: PRODUCT COMPLAINT # ==> (B)(4). INVESTIGATION SUMMARY ==> EXAMINATION OF THE RETURNED DEVICE(S) CONFIRMS THE REPORTED EVENT. PRODUCT PROBLEM HAS NOT BEEN IDENTIFIED. 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.

Additional Manufacturer Narrative · 1

PRODUCT COMPLAINT # ==> PC-(B)(4).

Additional Manufacturer Narrative · 1

.

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

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.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE CONNECTOR CRACKED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
803923 ATTUNE SPACER BLOCK KNEE INSTRUMENT/TRIAL HWT DEPUY IRELAND 961610  BFA0P57 10603295395379

Patients

Seq Age Sex Outcome Treatment
1 49 YR