FDA Adverse Event Malfunction Summary report: N

ATTUNE RP PS ARTIC SURF SZ3

MDR report key: 7514660 · Received May 15, 2018

Report

Report Number
1818910-2018-59657
Event Type
Malfunction
Date Received
May 15, 2018
Date of Event
April 19, 2018
Report Date
April 19, 2018
Manufacturer
DEPUY IRELAND - 9616671
Product Code
JWH
UDI-DI
10603295132837
PMA / PMN Number
K140881
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, 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

PRODUCT COMPLAINT #: (B)(4). INVESTIGATION SUMMARY: EXAMINATION OF THE RETURNED DEVICE CONFIRMS THE REPORTED EVENT. 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, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE ATTUNE SIZE 3 RP ARTICULATION SURFACE LOST SPRING DURING DECONTAMINATION PROCESS BY CSP STAFF. THERE WAS NO PATIENT INVOLVEMENT IN EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
357437 ATTUNE RP PS ARTIC SURF SZ3 ATTUNE INSTRUMENTS : TIBIAL TRIALS JWH DEPUY IRELAND - 9616671 MVCWP710 10603295132837

Patients

Seq Age Sex Outcome Treatment
1