Brand Name | ATTUNE IMPACTION HANDLE |
Type of Device | ATTUNE INSTRUMENTS : HANDLES |
Manufacturer (Section D) |
DEPUY IRELAND 9616671 |
loughbeg, ringaskiddy co. |
cork IN |
EI |
|
Manufacturer (Section G) |
DEPUY ORTHOPAEDICS, INC. 1818910 |
700 orthopaedic drive |
|
warsaw IN 46582 |
|
Manufacturer Contact |
chad
gibson
|
700 orthopaedic drive |
warsaw, IN 46582
|
5743725905
|
|
MDR Report Key | 7172407 |
MDR Text Key | 96718433 |
Report Number | 1818910-2018-50524 |
Device Sequence Number | 1 |
Product Code |
HWA
|
UDI-Device Identifier | 10603295423324 |
UDI-Public | 10603295423324 |
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,health |
Reporter Occupation |
Health Professional
|
Type of Report
| Initial,Followup,Followup |
Report Date |
12/11/2017 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 01/08/2018 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Catalogue Number | 254401017 |
Device Lot Number | NW156418 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 01/10/2018 |
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 01/24/2018 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 12/22/2014 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Unknown
|
Patient Sequence Number | 1 |
Patient Age | 59 YR |