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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEPUY ORTHOPAEDICS INC US TRUMATCH CT FEM CUT TIB PIN R; TRUMATCH INSTRUMENTS : FIXATION PINS

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DEPUY ORTHOPAEDICS INC US TRUMATCH CT FEM CUT TIB PIN R; TRUMATCH INSTRUMENTS : FIXATION PINS Back to Search Results
Model Number 42-0907
Device Problem Incorrect Measurement (1383)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Type  malfunction  
Manufacturer Narrative
(b)(4).If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
 
Event Description
It was reported as " event descriptions: tmk23137, kk, not enough external rotation in surgery.Tmk23228, mt, too much external rotation in surgery.Tmk23258, jg, left knee, following up on rotation issue.".
 
Manufacturer Narrative
Product complaint #: (b)(4).Investigation summary: the device associated with this report was not returned for evaluation.Review of the design files confirmed the reported, and corrective action was implemented.The information received will be retained for potential series investigations if triggered by trend analysis, post market surveillance, or other events within the quality system.Depuy considers the investigation closed.Should additional info be received, the investigation will be re-opened as necessary.Device history lot: a device history record (dhr) review was performed.The review found one non-conformance (b)(4) against the provided lot number.The nr was for a batch of resin not meeting a material specification, and it is not related to the current reported event of too much external rotation in surgery.
 
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Brand Name
TRUMATCH CT FEM CUT TIB PIN R
Type of Device
TRUMATCH INSTRUMENTS : FIXATION PINS
Manufacturer (Section D)
DEPUY ORTHOPAEDICS INC US
700 orthopaedic drive
warsaw IN 46581 0988
MDR Report Key10290236
MDR Text Key199322426
Report Number1818910-2020-16161
Device Sequence Number1
Product Code JWH
UDI-Device Identifier10603295384823
UDI-Public10603295384823
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup
Report Date 07/02/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number42-0907
Device Catalogue Number420907
Device Lot Number23228
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 07/02/2020
Initial Date FDA Received07/17/2020
Supplement Dates Manufacturer Received08/12/2020
Supplement Dates FDA Received08/13/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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