MAUDE Adverse Event Report: DEPUY IRELAND - 9616671 ATUN FEM SLV M/L 30MM HALF POR; KNEE FEMORAL ACCESSORY

Model Number	1511-01-102
Medical Device Problem Codes	Inadequacy of Device Shape and/or Size (1583); Appropriate Device Problem Term/Code Not Available (3191)
Health Effect - Clinical Codes	Bone Fracture(s) (1870); No Code Available (3191)
Date of Event	10/12/2020
Type of Reportable Event	Serious Injury
Additional 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 or Problem Description
It was reported that this patient was having an attune revision knee.The patient had a competitor product in the knee.The attune knee was prepared as per technique.The femoral and tibial stem were overreamed by 1mm.The broaches for the femur and tibia sat perfectly, and the trials sat correctly.The implants were assembled correctly.The tibial tray sat proud 2mm.Luckily, we could downsize the insert.During impaction of the femoral construct, the patient's femur cracked on the anterior surface.The surgeon had to use a cable to keep the crack from propagating.The surgeon used partial coated sleeves on both the femur and tibia.These items sitting proud, or cracking bone is a common issue with this system.The pressfit is too much.This was not an issue with this surgeon and the close to a thousand sigma revision knees that he performed.There was a surgical delay of 15 minutes.Right knee.
Additional Manufacturer Narrative
Product complaint #: (b)(4).Investigation summary: no device associated with this report was received for examination.Depuy synthes considers the investigation closed at this time.Should additional information be received, the information will be reviewed and the investigation may be re-opened as necessary.
Additional Manufacturer Narrative
Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes joint reconstruction, or its employees that the report constitutes an admission that the product, depuy synthes joint reconstruction, or its employees caused or contributed to the potential event described in this report.H10 additional narrative: no code available (3191) is used since there is no reported product problem.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.

• Brand Name: ATUN FEM SLV M/L 30MM HALF POR
• Common Device Name: KNEE FEMORAL ACCESSORY
• Manufacturer (Section D): DEPUY IRELAND - 9616671; loughbeg ringaskiddy co.; cork ; EI
• MDR Report Key: 10742557
• Report Number: 1818910-2020-23417
• Device Sequence Number: 19661185
• Product Code: JWH
• UDI-Device Identifier: 10603295436492
• UDI-Public: 10603295436492
• Combination Product (Y/N): N
• Initial Reporter State: WA
• Initial Reporter Country: US
• PMA/510(K) Number: K160700
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2020
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: company representative,health
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup,Followup
• Report Date (Section B): 10/12/2020

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?: Yes
• Operator of Device: Health Professional
• Device Model Number: 1511-01-102
• Device Catalogue Number: 151101102
• Device Lot Number: J6781X
• Was Device Available for Evaluation?: No
• Initial Date Received by Manufacturer: 10/12/2020
• Supplement Date Received by Manufacturer: 10/27/2020; 12/08/2020
• Initial Report FDA Received Date: 10/27/2020
• Supplement Report FDA Received Date: 11/03/2020; 12/08/2020
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Concomitant Medical Products and Therapy/Usage Dates: ATTUNE CRS FEMORAL RT SZ 4 CEM; ATUN TIB SLV M/L 29MM HALF POR; ATUNE PRESSFIT STR STEM10X60MM; ATUNE PRESSFIT STR STEM12X60MM; ATUNE REV RP TIB BASE SZ 3 CEM
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Age: 76 YR