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 |