FDA Adverse Event Malfunction Summary report: N

ATTUNE IMPACTION HANDLE

MDR report key: 7107565 · Received December 12, 2017

Report

Report Number
1818910-2017-51247
Event Type
Malfunction
Date Received
December 12, 2017
Date of Event
November 15, 2017
Report Date
November 15, 2017
Manufacturer
DEPUY IRELAND 9616671
Product Code
HWA
UDI-DI
10603295423324
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PRODUCT COMPLAINT # (B)(4). INVESTIGATION SUMMARY: CONCLUSION AND JUSTIFICATION STATUS: THE COMPLAINT STATES IT WAS REPORTED THAT THE RED BUTTONS/THUMB LATCHES BROKE OFF. THE INVESTIGATION CONFIRMED THAT THE LEVER HAD BROKEN AS REPORTED. IT SHOULD BE NOTED THAT A FIELD SAFETY NOTICE WAS ISSUED STATING THAT TO REDUCE THE POSSIBILITY OF LEAVING FRAGMENTS IN PATIENTS TO ADHERE TO THE IFU WHICH INCLUDE INSPECTING THE INSTRUMENTS TO ENSURE THAT NO INSTRUMENTS OR PIECES OF INSTRUMENTS ARE LEFT IN THE SURGICAL SITE PRIOR TO CLOSURE THE COMPLAINT SHALL BE CLOSED WITH A JUSTIFIED CONCLUSION; IT WILL BE ENTERED INTO THE COMPLAINT DATABASE AND MONITORED THROUGH TREND ANALYSIS.

Additional Manufacturer Narrative · 1

(B)(4). INVESTIGATION SUMMARY ==> CONCLUSION AND JUSTIFICATION STATUS: THE COMPLAINT STATES IT WAS REPORTED THAT THE RED BUTTONS/THUMB LATCHES BROKE OFF. THE INVESTIGATION CONFIRMED THAT THE LEVER HAD BROKEN AS REPORTED. IT SHOULD BE NOTED THAT A FIELD SAFETY NOTICE WAS ISSUED STATING THAT TO REDUCE THE POSSIBILITY OF LEAVING FRAGMENTS IN PATIENTS TO ADHERE TO THE IFU WHICH INCLUDE INSPECTING THE INSTRUMENTS TO ENSURE THAT NO INSTRUMENTS OR PIECES OF INSTRUMENTS ARE LEFT IN THE SURGICAL SITE PRIOR TO CLOSURE THE COMPLAINT SHALL BE CLOSED WITH A JUSTIFIED CONCLUSION; IT WILL BE ENTERED INTO THE COMPLAINT DATABASE AND MONITORED THROUGH TREND ANALYSIS. DEVICE HISTORY LOT ==> NULL. DEVICE HISTORY REVIEW ==> NULL.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE RED BUTTONS/THUMB LATCHES BROKE OFF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
888039 ATTUNE IMPACTION HANDLE ATTUNE INSTRUMENTS : HANDLES HWA DEPUY IRELAND 9616671 NW131964 10603295423324

Patients

Seq Age Sex Outcome Treatment
1