Brand Name | ATTUNE FB PS ARTIC SURF SZ4 |
Type of Device | ATTUNE INSTRUMENTS : TIBIAL TRIALS |
Manufacturer (Section D) |
DEPUY IRELAND 9616671 |
loughbeg ringaskiddy co. |
cork |
EI |
|
Manufacturer (Section G) |
DEPUY ORTHOPAEDICS, INC. 1818910 |
700 orthopaedic drive |
|
warsaw IN 46582 0988 |
|
Manufacturer Contact |
kara
ditty-bovard
|
1210 ward avenue |
west chester, PA 19380-XXXX
|
6107428552
|
|
MDR Report Key | 8453902 |
MDR Text Key | 139990167 |
Report Number | 1818910-2019-88545 |
Device Sequence Number | 1 |
Product Code |
JWH
|
UDI-Device Identifier | 10603295132448 |
UDI-Public | 10603295132448 |
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K140881 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,health |
Reporter Occupation |
Other Health Care Professional
|
Type of Report
| Initial,Followup |
Report Date |
03/07/2019 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 03/26/2019 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Catalogue Number | 254500504 |
Device Lot Number | MVMCCP350 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 03/21/2019 |
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 04/17/2019 |
Was Device Evaluated by Manufacturer? |
No
|
Date Device Manufactured | 08/12/2014 |
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 |