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ATTUNE 2544-00-519Recalls & reported problems

Depuy (Ireland) · ATTUNE BALANCED SIZER DISTRACTOR · Class 1

All models of ATTUNE (1475)

Data updated Oct 18, 2026 from official FDA records · Editorial policy

Quick summary

This DePuy Attune balanced sizer is a surgical tool used during knee replacement to check implant size and balance. The 24 reports mostly describe the parts jamming, sticking, or not sliding and fitting together during surgery, sometimes with a short delay, and mention no deaths and no injuries. No recalls name this device.

AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.

Adverse event reports
24
Deaths reported
0
Injuries reported
0
Recalls naming it
0

Summary

The FDA's MAUDE database contains 24 adverse event reports that list this exact device (DI 10603295384403), received between Nov 15, 2017 and Apr 15, 2026 — classified as 24 malfunctions.

The most frequently reported specific device problem is “Device-Device Incompatibility” (7 reports).

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 18, 2026.

Reports received per month

Nov 2023: 0 reportsDec 2023: 0 reportsJan 2024: 0 reportsFeb 2024: 0 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 0 reportsJul 2024: 0 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 0 reportsNov 2024: 0 reportsDec 2024: 0 reportsJan 2025: 0 reportsFeb 2025: 0 reportsMar 2025: 0 reportsApr 2025: 0 reportsMay 2025: 0 reportsJun 2025: 0 reportsJul 2025: 0 reportsAug 2025: 0 reportsSep 2025: 0 reportsOct 2025: 2 reportsNov 2025: 1 reportsDec 2025: 0 reportsJan 2026: 1 reportsFeb 2026: 0 reportsMar 2026: 0 reportsApr 2026: 1 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520262
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Device-Device Incompatibility7
  • Mechanical Jam7
  • Physical Resistance/Sticking3
  • Appropriate Device Problem Term/Code Not Available2
  • Break2
  • Material Twisted/Bent2
  • Mechanical Problem2
  • Detachment of Device or Device Component1

Patient problems

  • No Clinical Signs, Symptoms or Conditions12
  • No Consequences Or Impact To Patient9
  • Insufficient Information1
  • No Code Available1
  • No Information1

Recent adverse event reports

The 24 most recent of 24 reports, in the reporter's own words as published by the FDA.

  • MalfunctionApr 15, 2026Material Deformation; Mechanical Jam

    DURING A PROCEDURE, THE TWO-PIECE PRODUCT WAS PUT TOGETHER AND IS NOT COMING APART; IT APPEARS THE THREAD OF THE SCREW IS WRAPPED AND NOT LOOSENING. THERE WAS NO PATIENT HARM. THERE WAS NO SURGICAL DELAY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24888153 ↗
  • MalfunctionJan 23, 2026Device-Device Incompatibility

    IT WAS REPORTED THAT DURING A TOTAL KNEE ARTHROPLASTY (TKA), THE BALANCED SIZER WAS NOT WORKING CORRECTLY. ACCORDING TO THE REPORTER, WHEN TWISTING, THE TOP DOESN'T OPEN UP CORRECTLY AND WAS STIFF. ADDITIONALLY, THE BLACK OVER SIZER DIDN'T SLIDE DOWN OVER THE STEEL ROD. THERE WAS A 15 MINUTE DELAY IN SURGERY REPORTED. IT WAS FURTHER REPORTED THAT THE PROCEDURE WAS COMPLETED SUCCESSFULLY AND NO FRAGMENTS WERE GENERATED. THERE WERE NO PATIENT CONSEQUENCES. ALL AVAILABLE INFORMATION HAS BEEN DISCLOSED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24172877 ↗
  • MalfunctionNov 12, 2025Break; Break

    IT WAS REPORTED THAT BROKEN INSTRUMENT: RESISTANCE IN THE MECHANISM PREVENT NORMAL USE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23535568 ↗
  • MalfunctionOct 28, 2025Device-Device Incompatibility; Device-Device Incompatibility

    ATTUNE BALANCING SIZER IS FAULTY. THE SIZING GUIDE IS NOT SLIDING OVER THE DISTRACTOR. IT IS VERY TIGHT AND WILL NOT FUNCTION PROPERLY TO ALLOW FOR SIZING AND BALANCING. THERE WAS NO PATIENT CONSEQUENCE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23403745 ↗
  • MalfunctionOct 28, 2025Device-Device Incompatibility; Device-Device Incompatibility

    ATTUNE BALANCING SIZER IS FAULTY. THE SIZING GUIDE IS NOT SLIDING OVER THE DISTRACTOR. IT IS VERY TIGHT AND WILL NOT FUNCTION PROPERLY TO ALLOW FOR SIZING AND BALANCING. THERE WAS NO PATIENT CONSEQUENCE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23403681 ↗
  • MalfunctionJun 5, 2023Break; Device-Device Incompatibility; Break; Device-Device Incompatibility

    IT WAS REPORTED THAT THE TWO PIECE BALANCED SIZER BROKEN. BOTH PARTS WOULD NOT ENGAGE TO BALANCE IN FLEXION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17062146 ↗
  • MalfunctionApr 20, 2023Mechanical Jam; Mechanical Jam

    IT WAS REPORTED THAT ATTUNE BALANCED SIZER WAS JAMMING A LITTLE WHEN TRYING TO TURN IT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 16776152 ↗
  • MalfunctionDec 8, 2022Detachment of Device or Device Component; Mechanical Jam; Detachment of Device or Device Component; Mechanical Jam

    IT WAS REPORTED THAT BLACK PLASTIC PART OF THE BALANCED SIZER IS VERY STIFF TO SLIDE UP AND DOWN THE REST OF THE BALANCED SIZER. THE METAL RING ON THE TOP OF THE METAL PLASTIC PART IS ABLE TO COME OFF - IT DOESN¿T USUALLY. I¿M NOT SURE IF THIS IS DUE TO THE UPPED OF THE BALANCED SIZER, OR THE BLACK PLASTIC PART BEING TOO SNUG. I HAVE PUT ALL THREE PARTS OF THE BALANCED SIZER ON THIS CST

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 15942417 ↗
  • MalfunctionOct 14, 2021Mechanical Jam; Mechanical Jam

    IT WAS REPORTED THAT THE BALANCED SIZER WAS BINDING AND NOT WORKING CORRECTLY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 12634264 ↗
  • MalfunctionSep 29, 2021Mechanical Problem; Mechanical Problem

    BALANCED SIZER WOULD NOT TURN PROPERLY. NEEDS TO BE REPLACED. NO DELAY

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 12548084 ↗
  • MalfunctionMar 25, 2021Device-Device Incompatibility; Scratched Material; Device-Device Incompatibility; Scratched Material

    IT WAS REPORTED THAT ON (B)(6) 2021, THE PATIENT UNDERWENT TKA SURGERY FOR PRIMARY KNEE OSTEOARTHRITIS WITH ATTUNE SYSTEM. DURING THE SURGERY, THE SURGEON COULD NOT INSERT THE BALANCED SIZER INTO THE DISTRACTOR AT ALL. THERE WAS NO ADVERSE CONSEQUENCE TO THE PATIENT. THE SURGERY WAS DELAYED BY 5 TO 10 MINUTES DUE TO THIS EVENT. AFTER THE SURGERY, THE SALES REP CONFIRMED THERE WAS MULTIPLE DAMAGES ON CONNECTING PART OF THE DEVICES. NO FURTHER INFORMATION IS AVAILABLE.

    Patient problems: Insufficient Information

    MAUDE report 11568756 ↗
  • MalfunctionFeb 17, 2021Mechanical Problem; Material Twisted/Bent

    BALANCED SIZER IS WORN AND NEEDS TO BE REPLACED, THE HANDLE WOULD NOT TURN TO TENSION.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 11340152 ↗
  • MalfunctionDec 16, 2020Material Twisted/Bent; Mechanical Jam; Material Twisted/Bent; Mechanical Jam

    ATTUNE BALANCED SIZER IS WORN AND NEEDS REPLACING. SURGEON HAS COMPLAINED MULTIPLE TIMES ABOUT IT. DOES NOT TURN AS IT SHOULD.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 11020417 ↗
  • MalfunctionJul 22, 2020Device-Device Incompatibility; Naturally Worn; Device-Device Incompatibility; Naturally Worn

    PRIOR TO THE CASE, THE SCRUB TECH NOTICED THE BALANCED SIZING TOOL FROM A SET OF LOANER INSTRUMENTS WAS NOT WORKING PROPERLY. NO DELAYS.

    Patient problems: No Consequences Or Impact To Patient

    MAUDE report 10307799 ↗
  • MalfunctionAug 14, 2019Physical Resistance/Sticking; Physical Resistance/Sticking

    IT WAS REPORTED THAT THE SURGEON USES A COMBINATION OF THE AP MEASURED SIZER AND THE BALANCING SIZER IN HIS TOTAL KNEE ARTHROPLASTY'S. HE FIRST SIZES THE KNEE WITH THE MEASURED SIZER TO GET AN IDEA OF WHAT SIZE HE'S LOOKING AT, AND THEN USES THE BALANCED SIZER TO CONFIRM. AFTER DR. FINISHED USING THE BALANCED SIZER COMPLETELY AND TOOK IT OFF, HE NOTICED THAT THE 2 PIECES THAT MAKE UP THE ATTUNE BALANCED SIZER DISTRACTOR ROD SEEMED TO BE CROSS-THREADED AND COULD NOT BE LOOSENED BACK UP. THIS DID NOT DELAY THE CASE IN ANY WAY AS SURGEON WAS ALREADY FINISHING USING IT AND CONTINUED TO PROCEED TO THE NEXT STEP. REPLACEMENTS ARE NEEDED TO COMPLETE THE FEMORAL SIZING AND FINISHING TRAY. UPON EXAMINATION, THE INTERNAL ROD COMPONENT OF THE DEVICE WAS FOUND TO BE JAMMED/FROZEN.

    Patient problems: No Consequences Or Impact To Patient

    MAUDE report 8894432 ↗
  • MalfunctionDec 21, 2018Mechanical Jam; Mechanical Jam

    IT WAS REPORTED THAT WHILE TRYING TO SIZE FEMUR, BALANCED SIZER FROZE UP AND COULD NOT BE TURNED WITH SURGEONS GRIP, BALANCED SIZER REMOVED AND USED OTHER FEMUR SIZER. DURING IMPACTION OF TIBIAL COMPONENT THE RED TAB ON IMPACTION HANDLE BROKE OFF FALLING ON TABLE, AREA SEARCHED NOTHING IN WOUND. USED DIFFERENT HANDLE. NO SURGICAL DELAY.

    Patient problems: No Consequences Or Impact To Patient

    MAUDE report 8189804 ↗
  • MalfunctionDec 21, 2018Mechanical Jam; Mechanical Jam

    IT WAS REPORTED THAT WHILE TRYING TO SIZE FEMUR, BALANCED SIZER FROZE UP AND COULD NOT BE TURNED WITH SURGEONS GRIP, BALANCED SIZER REMOVED AND USED OTHER FEMUR SIZER. DURING IMPACTION OF TIBIAL COMPONENT THE RED TAB ON IMPACTION HANDLE BROKE OFF FALLING ON TABLE, AREA SEARCHED NOTHING IN WOUND. USED DIFFERENT HANDLE. NO SURGICAL DELAY.

    Patient problems: No Consequences Or Impact To Patient

    MAUDE report 8189786 ↗
  • MalfunctionOct 12, 2018Loosening of Implant Not Related to Bone-Ingrowth; Loosening of Implant Not Related to Bone-Ingrowth

    IT WAS REPORTED THAT THE BALANCE SIZER THREADS DO NOT WORK PROPERLY.

    Patient problems: No Consequences Or Impact To Patient

    MAUDE report 7960036 ↗
  • MalfunctionAug 24, 2018Device-Device Incompatibility; Device-Device Incompatibility

    IT WAS REPORTED THAT THE BALANCED SIZER WOULDN'T SLIDE PROPERLY WHEN THE DIAL WAS TURNED. SURGEON ASKED THAT IT BE REPLACED FOR A NEW ONE.

    Patient problems: No Code Available

    MAUDE report 7813410 ↗
  • MalfunctionAug 21, 2018Physical Resistance/Sticking; Physical Resistance/Sticking

    IT WAS REPORTED THAT SCRUB DISCOVERED PRIOR TO START OF CASE THAT THE BALANCED SIZING GUIDE PART # 254400519 WOULD NOT FUNCTION PROPERLY. IT SEEMS TO BE STICKING AND WILL NOT FULLY ENGAGE.

    Patient problems: No Consequences Or Impact To Patient

    MAUDE report 7801575 ↗
  • MalfunctionAug 21, 2018Physical Resistance/Sticking; Physical Resistance/Sticking

    IT WAS REPORTED THAT SCRUB DISCOVERED PRIOR TO START OF CASE THAT THE BALANCED SIZING GUIDE PART # 254400519 WOULD NOT FUNCTION PROPERLY. IT SEEMS TO BE STICKING AND WILL NOT FULLY ENGAGE.

    Patient problems: No Consequences Or Impact To Patient

    MAUDE report 7801544 ↗
  • MalfunctionMay 22, 2018Appropriate Device Problem Term/Code Not Available; Appropriate Device Problem Term/Code Not Available

    IT WAS REPORTED THAT THE BALANCED SIZER CONSTRUCT WAS VERY DIFFICULT TO TURN. THE CASE WAS NOT AFFECTED WITH THE ISSUE. IT FEELS LIKE METAL RUBBING TOGETHER MAKING IT DIFFICULT TO TURN.

    Patient problems: No Consequences Or Impact To Patient

    MAUDE report 7532788 ↗
  • MalfunctionMay 22, 2018Appropriate Device Problem Term/Code Not Available; Appropriate Device Problem Term/Code Not Available

    IT WAS REPORTED THAT THE BALANCED SIZER CONSTRUCT WAS VERY DIFFICULT TO TURN. THE CASE WAS NOT AFFECTED WITH THE ISSUE. IT FEELS LIKE METAL RUBBING TOGETHER MAKING IT DIFFICULT TO TURN.

    Patient problems: No Consequences Or Impact To Patient

    MAUDE report 7532785 ↗
  • MalfunctionNov 15, 2017Difficult to Remove; Difficult to Remove

    IT WAS REPORTED THAT THE TENSIONER IS COLDWELDED TOGETHER.

    Patient problems: No Information

    MAUDE report 7033924 ↗

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