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.
[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
Report Number | 1818910-2020-09573 |
MDR Report Key | 9897845 |
Report Source | CONSUMER,OTHER |
Date Received | 2020-03-30 |
Date of Report | 2020-03-11 |
Date of Event | 2018-05-14 |
Date Mfgr Received | 2020-03-11 |
Device Manufacturer Date | 2016-03-15 |
Date Added to Maude | 2020-03-30 |
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 | KARA DITTY-BOVARD |
Manufacturer Street | 700 ORTHOPAEDIC DR. |
Manufacturer City | WARSAW IN 465810988 |
Manufacturer Country | US |
Manufacturer Postal | 465810988 |
Manufacturer Phone | 6107428552 |
Manufacturer G1 | DEPUY IRELAND 9616671 |
Manufacturer Street | LOUGHBEG, RINGASKIDDY CO. |
Manufacturer City | CORK |
Manufacturer Country | EI |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | ATTUNE PS RP INSRT SZ4 5MM |
Generic Name | ATTUNE IMPLANT : KNEE TIBIAL INSERT |
Product Code | NJL |
Date Received | 2020-03-30 |
Model Number | 1516-50-405 |
Catalog Number | 151650405 |
Lot Number | 8266742 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | DEPUY IRELAND - 9616671 |
Manufacturer Address | LOUGHBEG RINGASKIDDY CO. CORK EI |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 2020-03-30 |