ATTUNE PS RP INSRT SZ4 5MM 1516-50-405 151650405

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer,other report with the FDA on 2020-03-30 for ATTUNE PS RP INSRT SZ4 5MM 1516-50-405 151650405 manufactured by Depuy Ireland - 9616671.

Event Text Entries

[185953384] Product complaint # (b)(4). Initial reporter occupation: lawyer. (b)(4). If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Patient Sequence No: 1, Text Type: N, H10


[185953385] Patient received a left primary attune total knee to treat degenerative osteoarthritis of the left knee. The patella was resurfaced, and depuy cement x 1 was utilized. The procedure was completed without complications. Records indicate the patient received a revision of the left knee insert to treat pain and joint instability on (b)(6) 2018. Surgeon notes that medial and lateral instability may be cause by the patient? S history of unspecified trauma. The patella, femoral component, and tibial tray were all well-fixed and retained. The procedure was completed without complications. Doi: (b)(6) 2016, dor: (insert), (b)(6) 2018, left knee.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1818910-2020-09573
MDR Report Key9897845
Report SourceCONSUMER,OTHER
Date Received2020-03-30
Date of Report2020-03-11
Date of Event2018-05-14
Date Mfgr Received2020-03-11
Device Manufacturer Date2016-03-15
Date Added to Maude2020-03-30
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactKARA DITTY-BOVARD
Manufacturer Street700 ORTHOPAEDIC DR.
Manufacturer CityWARSAW IN 465810988
Manufacturer CountryUS
Manufacturer Postal465810988
Manufacturer Phone6107428552
Manufacturer G1DEPUY IRELAND 9616671
Manufacturer StreetLOUGHBEG, RINGASKIDDY CO.
Manufacturer CityCORK
Manufacturer CountryEI
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameATTUNE PS RP INSRT SZ4 5MM
Generic NameATTUNE IMPLANT : KNEE TIBIAL INSERT
Product CodeNJL
Date Received2020-03-30
Model Number1516-50-405
Catalog Number151650405
Lot Number8266742
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerDEPUY IRELAND - 9616671
Manufacturer AddressLOUGHBEG RINGASKIDDY CO. CORK EI


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-03-30

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