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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEPUY IRELAND - 9616671 ATTUNE RP TIB BASE SZ 6 POR; ATTUNE CEMENTLESS IMPLANTS : KNEE TIBIAL TRAY

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DEPUY IRELAND - 9616671 ATTUNE RP TIB BASE SZ 6 POR; ATTUNE CEMENTLESS IMPLANTS : KNEE TIBIAL TRAY Back to Search Results
Catalog Number 150611006
Medical Device Problem Codes Tear, Rip or Hole in Device Packaging (2385); Difficult to Open or Remove Packaging Material (2922)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/31/2024
Type of Reportable Event Malfunction
Event or Problem Description
It was reported on an unknown date when opening attune tibial base porocoat rp implant there was in issue with the device.Took plastic cover off then opened cardboard box.Took double layered plastic container out and found the hard plastic looked warped - as if it had been overheated.Still sterile, so nurse took first layer paper cover off but scrub nurse had difficulty lifting the 2nd container out of the 1st one.Surgeon took over from scrub nurse and used a blade to slice through the 2nd paper cover.Then used forceps to lift the paper off and another set of forceps to lift out the tibial implant.Following this, both myself and the circulating nurse attempted to separate the two plastics containers without success.No surgical delay.Procedure completed successfully.
 
Additional Manufacturer Narrative
Depuy orthopaedics is submitting this report pursuant to the provisions of 21 cfr, part 803.This report may be based on information which depuy orthopaedics has not been able to investigate or verify prior to the required reporting date.This report does not reflect a conclusion by fda, depuy orthopaedics or its employees that the report constitutes an admission that the device, depuy orthopaedics, or its employees caused or contributed to the potential event described in this report.If the information is unknown, not available or does not apply, the section/field of the form is left blank.B3: unknown event date.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
 
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.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
 
Event or Problem Description
Additional information was received and states that: was there any surgical delay related to the event? no.
 
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 that 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.If information that was not available for the initial report is obtained, a follow-up report will be filed as appropriate.
 
Additional Manufacturer Narrative
Product complaint # (b)(4).Upon further review, the reported event is no longer considered reportable to the usfda as the sterility barrier was not reported to have been breached nor was a direct protective component difficult to remove.No further reports will be submitted under.
 
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Brand Name
ATTUNE RP TIB BASE SZ 6 POR
Common Device Name
ATTUNE CEMENTLESS IMPLANTS : KNEE TIBIAL TRAY
Manufacturer (Section D)
DEPUY IRELAND - 9616671
loughbeg ringaskiddy co.
cork
EI 
Manufacturer (Section G)
JTE WARSAW MFG SITE
700 orthopaedic drive
warsaw IN 46582
Manufacturer Contact
kate karberg
700 orthopaedic dr.
warsaw, IN 46581
3035526892
MDR Report Key20634937
Report Number1818910-2024-23328
Device Sequence Number15309072
Product Code NJL
UDI-Device Identifier10603295416289
UDI-Public(01)10603295416289(17)340531(10)4493214
Combination Product (Y/N)N
Initial Reporter CountryNZ
PMA/510(K) Number
P830055
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2024
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional
Initial Reporter Occupation Physician
Type of Report Initial,Followup,Followup,Followup
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
Operator of Device Health Professional
Device Catalogue Number150611006
Device Lot Number4493214
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 10/30/2024
Supplement Date Received by Manufacturer11/12/2024
11/12/2024
11/26/2024
Initial Report FDA Received Date11/07/2024
Supplement Report FDA Received Date11/12/2024
11/13/2024
12/04/2024
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured06/29/2024
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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