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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DePuy Ireland - 9616671 ATTUNE; Attune Instruments : Sizing/Measuring Instruments

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DePuy Ireland - 9616671 ATTUNE; Attune Instruments : Sizing/Measuring Instruments Back to Search Results
Catalog Number 254400525
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/11/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the nurse had dropped the sizer and it had broke.A replacement was requested.
 
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.
 
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Brand Name
ATTUNE
Common Device Name
Attune Instruments : Sizing/Measuring Instruments
Manufacturer (Section D)
DePuy Ireland - 9616671
loughbeg ringaskiddy co.
cork
EI 
Manufacturer Contact
elba bello
700 orthopaedic dr.
warsaw, IN 46581
+1(908)386-3534
MDR Report Key50551495
Report Number1818910-2026-14984
Device Sequence Number10601113
Product Code HWT
UDI-Device Identifier10603295434061
Combination Product (Y/N)N
Initial Reporter StateNC
Initial Reporter CountryUS
PMA/510(K) Number
Exempt
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,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 Number254400525
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Received by Manufacturer 08/12/2026
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date09/01/2026
Supplement Report FDA Received Date09/03/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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
Patient SexFemale
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