Brand Name | ATTUNE PS FEM TRIAL SZ 6 RT |
Type of Device | ATTUNE INSTRUMENTS : FEMORAL TRIALS |
Manufacturer (Section D) |
DEPUY IRELAND - 9616671 |
loughbeg ringaskiddy co. |
cork |
EI |
|
Manufacturer (Section G) |
DEPUY ORTHOPAEDICS, INC. 1818910 |
700 orthopaedic dr. |
|
warsaw IN 46581 0988 |
|
Manufacturer Contact |
kara
ditty-bovard
|
700 orthopaedic dr. |
warsaw, IN 46581-0988
|
6107428552
|
|
MDR Report Key | 9928287 |
MDR Text Key | 186557987 |
Report Number | 1818910-2020-10222 |
Device Sequence Number | 1 |
Product Code |
JWH
|
UDI-Device Identifier | 10603295133988 |
UDI-Public | 10603295133988 |
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 |
Report Date |
03/26/2020 |
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 Number | 2545-00-726 |
Device Catalogue Number | 254500726 |
Device Lot Number | MVMCDL990 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 03/14/2020 |
Is the Reporter a Health Professional? |
Yes
|
Initial Date Manufacturer Received |
03/26/2020
|
Initial Date FDA Received | 04/06/2020 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 09/16/2014 |
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 | 58 YR |