FDA Adverse Event Malfunction Summary report: N

ATTUNE MOD POST SAW CAP SZ9-10

MDR report key: 8094176 · Received November 21, 2018

Report

Report Number
1818910-2018-76116
Event Type
Malfunction
Date Received
November 21, 2018
Date of Event
November 14, 2018
Report Date
November 14, 2018
Manufacturer
DEPUY IRELAND 9616671
Product Code
LHX
UDI-DI
10603295130543
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PRODUCT COMPLAINT # (B)(4). 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 WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE RED TAB BROKE OFF OF THE SAW CAPTURE WHILE USING IT TO PREPARE THE FEMUR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
936066 ATTUNE MOD POST SAW CAP SZ9-10 ATTUNE INSTRUMENTS : RESECTION BLOCKS/DEVICES LHX DEPUY IRELAND 9616671 PG245196 10603295130543

Patients

Seq Age Sex Outcome Treatment
1