ATTUNE REV GEN FEM PREP CASE 254900040

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2019-11-06 for ATTUNE REV GEN FEM PREP CASE 254900040 manufactured by Depuy Ireland - 9616671.

MAUDE Entry Details

• Report Number: 1818910-2019-114447
• MDR Report Key: 9284878
• Report Source: COMPANY REPRESENTATIVE,HEALTH
• Date Received: 2019-11-06
• Date of Report: 2019-10-11
• Date of Event: 2019-10-11
• Date Mfgr Received: 2019-10-29
• Device Manufacturer Date: 2017-09-29
• Date Added to Maude: 2019-11-06
• 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
• Reporter Occupation: OTHER HEALTH CARE PROFESSIONAL
• 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 IN 193800988
• Manufacturer Country: US
• Manufacturer Postal: 193800988
• Manufacturer Phone: 6107428552
• Manufacturer G1: DEPUY ORTHOPAEDICS, INC. 1818910
• Manufacturer Street: 700 ORTHOPAEDIC DR.
• Manufacturer City: WARSAW IN 465810988
• Manufacturer Country: US
• Manufacturer Postal Code: 465810988
• Single Use: 3
• Previous Use Code: 3
• Event Type: 3
• Type of Report: 3

Device Details

• Brand Name: ATTUNE REV GEN FEM PREP CASE
• Generic Name: INSTRUMENT CASES
• Product Code: FSM
• Date Received: 2019-11-06
• Returned To Mfg: 2019-10-29
• Catalog Number: 254900040
• Lot Number: PV0165935
• Operator: HEALTH PROFESSIONAL
• Device Availability: R
• Device Age: DA
• Device Eval'ed by Mfgr: Y
• Device Sequence No: 1
• Device Event Key: 0
• Manufacturer: DEPUY IRELAND - 9616671
• Manufacturer Address: LOUGHBEG RINGASKIDDY CO. CORK EI

Patients

Patient Number	Treatment	Outcome	Date
1	0		2019-11-06