| Brand Name | ATTUNE |
| Common Device Name | Extraction Instruments |
| Manufacturer (Section D) |
| DePuy Ireland |
| loughbeg ringaskiddy co. |
| cork |
| EI |
|
| Manufacturer Contact |
|
elba
bello
|
| 700 orthopaedic dr. |
| warsaw, IN 46581
|
|
+1(908)386-3534
|
|
| MDR Report Key | 50778955 |
| Report Number | 1818910-2026-15881 |
| Device Sequence Number | 13432720 |
| Product Code |
HWB
|
| UDI-Device Identifier | 10603295131021 |
| Combination Product (Y/N) | N |
| Initial Reporter State | CO |
| Initial Reporter Country | US |
| PMA/510(K) Number | Exempt |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| 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 Number | 254500138 |
| Device Lot Number | BFA0WM3 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 08/20/2026 |
| Is the Reporter a Health Professional? |
Yes
|
| Initial Date Received by Manufacturer | 08/25/2026 |
| Initial Report FDA Received Date | 09/15/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 04/12/2021 |
| 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 Number | 1 |
| Patient Age | 76 YR |
| Patient Sex | Unknown |
|
|