MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-03-12 for ACETAB PRESSURISER 52MM(5PACK) 3206052 manufactured by Depuy Orthopaedics Inc Us.
[138915498]
If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate. Device was used for treatment, not diagnosis.
Patient Sequence No: 1, Text Type: N, H10
[138915499]
It was reported that the acetabular pressure riser (p/n: (b)(4) was broken when it was attached to t handle for cementing the acetabular side during tha surgery on (b)(6) 2019. The surgery was completed by using the spare and there was within a 30 minutes surgical delay. There were no broken parts in the patient? S body and there was no adverse consequence to the patient. No further information is available.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1818910-2019-87045 |
| MDR Report Key | 8413179 |
| Date Received | 2019-03-12 |
| Date of Report | 2019-02-19 |
| Date of Event | 2019-02-19 |
| Date Mfgr Received | 2019-07-12 |
| Device Manufacturer Date | 2014-04-30 |
| Date Added to Maude | 2019-03-12 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MS. KARA DITTY-BOVARD |
| Manufacturer Street | 1210 WARD AVENUE |
| Manufacturer City | WEST CHESTER PA 193800988 |
| Manufacturer Country | US |
| Manufacturer Postal | 193800988 |
| Manufacturer Phone | 6103142063 |
| Manufacturer G1 | DEPUY ORTHOPAEDICS, INC. 1818910 |
| Manufacturer Street | 700 ORTHOPAEDIC DRIVE |
| Manufacturer City | WARSAW IN 465820988 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 465820988 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | ACETAB PRESSURISER 52MM(5PACK) |
| Generic Name | DEPUY CMW CEMENTING ACCESSORIES : CEMENT DELIVERY DEVICES |
| Product Code | JDZ |
| Date Received | 2019-03-12 |
| Catalog Number | 3206052 |
| Lot Number | 60520353 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | DEPUY ORTHOPAEDICS INC US |
| Manufacturer Address | 700 ORTHOPAEDIC DRIVE WARSAW IN 465810988 US 465810988 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-03-12 |