FDA Adverse Event Malfunction Summary report: N

ATTUNE REV TIB CEM CONICAL RMR

MDR report key: 8196904 · Received December 26, 2018

Report

Report Number
1818910-2018-79129
Event Type
Malfunction
Date Received
December 26, 2018
Date of Event
November 28, 2018
Report Date
November 28, 2018
Manufacturer
DEPUY IRELAND - 9616671
Product Code
HTO
UDI-DI
10603295440567
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PRODUCT COMPLAINT # (B)(4). INVESTIGATION SUMMARY: EVALUATION OF THE RETURNED DEVICE FINDS DEFORMATION TO THE REAMER. 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 ATTUNE REVISION FB TIBIAL DRILL BIT HAS BURRS ON IT, WHICH HAS SCORED THE INSIDE OF THE DRILL TOWER. PLUNGING THE DRILL BIT INTO THE DRILL TOWER PRODUCES SMALL METAL SHAVINGS. NO SURGICAL DELAY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1035966 ATTUNE REV TIB CEM CONICAL RMR ATTUNE STEMMABLE TIBIA INSTRUMENTS : REAMERS HTO DEPUY IRELAND - 9616671 NG60812 10603295440567

Patients

Seq Age Sex Outcome Treatment
1