Brand Name | ATTUNE RP TIB BASE SZ 5 CEM |
Type of Device | ATTUNE IMPLANT : KNEE TIBIAL TRAY |
Manufacturer (Section D) |
DEPUY IRELAND - 9616671 |
loughbeg ringaskiddy co. |
cork |
EI |
|
Manufacturer (Section G) |
DEPUY IRELAND 9616671 |
loughbeg, ringaskiddy co. |
|
cork |
EI
|
|
Manufacturer Contact |
kara
ditty-bovard
|
700 orthopaedic dr. |
warsaw, IN 46581-0988
|
6107428552
|
|
MDR Report Key | 13841345 |
MDR Text Key | 287559180 |
Report Number | 1818910-2022-05103 |
Device Sequence Number | 1 |
Product Code |
NJL
|
UDI-Device Identifier | 10603295042594 |
UDI-Public | 10603295042594 |
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | P830055 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Health Professional,Company Representative |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial,Followup |
Report Date |
03/21/2022 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Device Model Number | 1506-10-005 |
Device Catalogue Number | 150610005 |
Device Lot Number | 8335414 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
02/10/2022 |
Initial Date FDA Received | 03/21/2022 |
Supplement Dates Manufacturer Received | 03/31/2022
|
Supplement Dates FDA Received | 04/01/2022
|
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 07/04/2016 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
Treatment | ATTUNE MEDIAL DOME PAT 35MM.; ATTUNE PS FEM LT SZ 6 NAR CEM.; ATTUNE PS RP INSRT SZ6 6MM.; ATTUNE RP TIB BASE SZ 5 CEM. |
Patient Outcome(s) |
Required Intervention;
|
Patient Age | 66 YR |
Patient Sex | Male |