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 2020-03-26 for QUICKSET TPRD HEX SCDR U-JOINT 2274-63-000 227463000 manufactured by Depuy Orthopaedics Inc Us.
[185103987]
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. Investigation summary: examination of the returned instrument found the alleged complaint unconfirmed but found a different failure upon inspection of the instrument. Depuy-synthes 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.
Patient Sequence No: 1, Text Type: N, H10
[185103988]
It was reported that the driver is too stiff and does not articulate very well. No surgical delay.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 1818910-2020-09346 |
MDR Report Key | 9884415 |
Report Source | COMPANY REPRESENTATIVE,HEALTH |
Date Received | 2020-03-26 |
Date of Report | 2020-03-10 |
Date of Event | 2020-02-06 |
Date Mfgr Received | 2020-03-31 |
Device Manufacturer Date | 2001-08-15 |
Date Added to Maude | 2020-03-26 |
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 | KARA DITTY-BOVARD |
Manufacturer Street | 700 ORTHOPAEDIC DRIVE |
Manufacturer City | WARSAW IN 465810988 |
Manufacturer Country | US |
Manufacturer Postal | 465810988 |
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 |
Brand Name | QUICKSET TPRD HEX SCDR U-JOINT |
Generic Name | HIP INSTRUMENTS : SCREWDRIVERS |
Product Code | HXX |
Date Received | 2020-03-26 |
Returned To Mfg | 2020-02-25 |
Model Number | 2274-63-000 |
Catalog Number | 227463000 |
Lot Number | NA |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Age | DA |
Device Eval'ed by Mfgr | Y |
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 | 2020-03-26 |