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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEPUY IRELAND - 3015516266 ATTUNE SHIMS & GEN INST; ATTUNE INSTRUMENTS : INSTRUMENT CASES

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DEPUY IRELAND - 3015516266 ATTUNE SHIMS & GEN INST; ATTUNE INSTRUMENTS : INSTRUMENT CASES Back to Search Results
Catalog Number 254501704
Medical Device Problem Codes Break (1069); Peeled/Delaminated (1454)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/18/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the sets are pealing, and broken inserts.It was reported that it did not happen in surgery.
 
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, or its employees that the report constitutes an admission that the product, depuy synthes, 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.H11 additional narrative: d4: udi: as the lot number for the device involved in the event was not provided, the full udi is currently not available.
 
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.H11 additional narrative: added: d9 if information is obtained that was not available for the initial report, a follow-up report 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.H11 additional narrative: added: d10 concomitant.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
 
Additional Manufacturer Narrative
Product complaint # (b)(4).Investigation summary: according to the information received, "it was reported that it did not happen in surgery.Sets are pealing, and broken inserts that spd rejects to process".The product was returned to depuy synthes for evaluation.Visual analysis of the returned sample revealed that the plastic coating on the attune shims & gen inst was peeling.Additionally, some brackets are broken, the fragments were not returned for evaluation.The overall appearance of the device exhibits evidence of constant use, servicing, and repetitive sterilization cycles.The observed condition was identified as an end-of-life indicator, damage consistent with repeated use and servicing.The lifecycle requirements of the device are event related and depend on the use and inspection of the device in clinical practice.As the device can be damaged on the first or 100th use, the device must be properly inspected prior to each surgical use.Refer to the device/country specific ifu for information related to end of life, reprocessing instructions, and inspection procedures.A functional test was not performed since it was not applicable to the complaint condition.A dimensional inspection was not performed since it was not applicable to the complaint condition.The overall complaint was confirmed as the observed condition of the attune shims & gen inst would have contributed to the complained device issue.Based on the investigation findings, the potential cause is traced to end of life, and it has been determined that no corrective and/or preventative action is required.As part of depuy synthes quality process, all devices are manufactured, inspected, and released to approved specifications.Additional monitoring for any potential safety signals will be conducted through complaint trending and other post-market safety surveillance activities.Device history lot: a manufacturing records evaluation (mre) was not performed as no lot number was retrieved for this device due to the wear condition.Corrected: h3.
 
Additional Manufacturer Narrative
Product complaint # (b)(4) investigation summary according to the information received, "it was reported that it did not happen in surgery.Sets are pealing, and broken inserts that spd rejects to process".The product was returned to depuy synthes for evaluation.Visual analysis of the returned sample revealed that the plastic coating on the attune shims & gen inst was peeling.Additionally, some brackets are broken, the fragments were not returned for evaluation.The overall appearance of the device exhibits evidence of constant use, servicing, and repetitive sterilization cycles.The observed condition was identified as an end-of-life indicator, damage consistent with repeated use and servicing.The lifecycle requirements of the device are event related and depend on the use and inspection of the device in clinical practice.As the device can be damaged on the first or 100th use, the device must be properly inspected prior to each surgical use.Refer to the device/country specific ifu for information related to end of life, reprocessing instructions, and inspection procedures.A functional test was not performed since it was not applicable to the complaint condition.A dimensional inspection was not performed since it was not applicable to the complaint condition.The overall complaint was confirmed as the observed condition of the attune shims & gen inst would have contributed to the complained device issue.Based on the investigation findings, the potential cause is traced to end of life, and it has been determined that no corrective and/or preventative action is required.As part of depuy synthes quality process, all devices are manufactured, inspected, and released to approved specifications.Additional monitoring for any potential safety signals will be conducted through complaint trending and other post-market safety surveillance activities.Device history lot a manufacturing records evaluation (mre) was not performed as no lot number was retrieved for this device due to the wear condition.Corrected: h3.
 
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Brand Name
ATTUNE SHIMS & GEN INST
Common Device Name
ATTUNE INSTRUMENTS : INSTRUMENT CASES
Manufacturer (Section D)
DEPUY IRELAND - 3015516266
loughbeg ringaskiddy co.
cork
EI 
Manufacturer Contact
elba bello
700 orthopaedic dr.
warsaw, IN 46581
9083863534
MDR Report Key23980921
Report Number1818910-2026-00253
Device Sequence Number4553793
Product Code FSM
UDI-Device Identifier10603295423546
UDI-Public(01)10603295423546
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup,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 Number254501704
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 12/18/2025
Supplement Date Received by Manufacturer01/26/2026
01/30/2026
02/04/2026
02/09/2026
Initial Report FDA Received Date01/06/2026
Supplement Report FDA Received Date01/28/2026
02/02/2026
02/09/2026
02/11/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
ATTUNE CONV SHIM SZ3 10MM; ATTUNE CONV SHIM SZ3 12MM; ATTUNE CONV SHIM SZ3 14MM; ATTUNE CONV SHIM SZ3 16MM; ATTUNE CONV SHIM SZ3 18MM; ATTUNE CONV SHIM SZ5 10MM; ATTUNE CONV SHIM SZ5 12MM; ATTUNE CONV SHIM SZ5 14MM; ATTUNE CONV SHIM SZ5 16MM; ATTUNE CONV SHIM SZ5 18MM; ATTUNE CONV SHIM SZ5 20MM; ATTUNE CONV SHIM SZ7 10MM; ATTUNE CONV SHIM SZ7 12MM; ATTUNE CONV SHIM SZ7 14MM; ATTUNE CONV SHIM SZ7 16MM; ATTUNE CONV SHIM SZ7 18MM; ATTUNE CONV SHIM SZ7 20MM; ATTUNE PIN IMPACTOR; ATTUNE PIN PULLER; ATTUNE SHIM SZ3 7MM; ATTUNE SHIM SZ3 8MM; ATTUNE SHIM SZ5 6MM; ATTUNE SHIM SZ5 7MM; ATTUNE SHIM SZ5 8MM; ATTUNE SHIM SZ7 5MM; ATTUNE SHIM SZ7 6MM; ATTUNE SHIM SZ7 7MM; ATTUNE SHIM SZ7 8MM; ATTUNE SPACER BASE; ATTUNE TIBIAL TRIAL EXTRACTOR
Patient SexUnknown
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