ATTUNE 2546-00-428Recalls & reported problems
Depuy (Ireland) · ATTUNE KNEE SYSTEM REVISION ASSEMBLY WRENCH ADAPTOR · Class 1
All models of ATTUNE (1475)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 14
- Deaths reported
- 0
- Injuries reported
- 0
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 14 adverse event reports that list this exact device (DI 10603295440307), received between Feb 7, 2018 and Jul 30, 2026 — classified as 14 malfunctions.
The most frequently reported specific device problem is “Device-Device Incompatibility” (6 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
Most reported problems
Device problems
- Device-Device Incompatibility6
- Material Twisted/Bent4
- Material Deformation2
- Adverse Event Without Identified Device or Use Problem1
- Material Integrity Problem1
- Naturally Worn1
- Physical Resistance/Sticking1
Patient problems
- No Clinical Signs, Symptoms or Conditions8
- No Consequences Or Impact To Patient4
- Insufficient Information2
Recent adverse event reports
The 14 most recent of 14 reports, in the reporter's own words as published by the FDA.
MalfunctionJul 30, 2026Material Deformation
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50086865 ↗MalfunctionApr 20, 2026Device-Device Incompatibility
IT WAS REPORTED THAT DURING IMPLANT ASSEMBLY THE SURGEON NOTICED THE WRENCH NO LONGER FIT TIGHTLY AGAINST THE STEM. WHEN HE ENGAGED THE WRENCH WITH ENOUGH FORCE TO MAKE TO REQUIRED LOAD THE WRENCH SLIGHTLY SLIPPED AROUND THE FITTINGS. UPON CLOSER EVALUATION AFTER THE CASE, IT WAS FOUND THAT ENOUGH WEAR ON THE INSIDE OF THE WRENCH ALLOWED SLIGHT SLIPPAGE. THE WRENCH WAS REMOVED FROM SERVICE. THERE WAS NO SURGICAL DELAY. NO PIECES WERE LEFT BEHIND IN THE PATIENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24924800 ↗MalfunctionJun 3, 2025Device-Device Incompatibility; Device-Device Incompatibility
IT WAS REPORTED THAT THE WRENCH WAS SLIPPING AND NEEDED TO BE REPLACED. THE IMPACTOR WAS WORN OUT AND NEEDED TO BE REPLACED AS WELL.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22134885 ↗MalfunctionJun 3, 2025Device-Device Incompatibility; Device-Device Incompatibility
IT WAS REPORTED THAT THE WRENCH IS SLIPPING AND NEEDS TO BE REPLACED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22132325 ↗MalfunctionSep 10, 2024Device-Device Incompatibility; Material Integrity Problem; Device-Device Incompatibility; Material Integrity Problem
THE STEM OF THE FEMORAL COMPONENT BECAME DAMAGED DURING TORQUEING AND THE MOUNTING KEY IS SEEN TO BE ROLLED IN ITS HEXAGON, WHICH COULD ALTER THE FIXING OF THE STEM.
Patient problems: Insufficient Information
MAUDE report 20179806 ↗MalfunctionMar 10, 2023Device-Device Incompatibility; Device-Device Incompatibility
IT WAS REPORTED THAT THE WRENCH SPRUNG WHEN TIGHTENING TIBIAL STEM ONTO BASEPLATE. THERE WAS NO SURGICAL DELAY.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 16524525 ↗MalfunctionAug 9, 2022Material Deformation; Material Deformation
IT WAS REPORTED THAT THE WRENCH ATTACHMENT IS SPRUNG.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 15190988 ↗MalfunctionOct 8, 2021Device-Device Incompatibility; Naturally Worn; Device-Device Incompatibility; Naturally Worn
1. WAS THERE ANY ADVERSE CONSEQUENCES THAT AFFECTED THE PATIENT BECAUSE OF THE REPORTED EVENT? 2. THE DER IS MARKED YES FOR PIECES BEING RETRIEVED FROM PATIENT. PLEASE VERIFY IF THIS WAS MARKED BY MISTAKE OR IF THERE WERE PIECES BROKEN OFF FROM THE INSTRUMENT. IF YES, DID IT BREAK INTO 2 OR MORE PIECES? 3. PLEASE CONFIRM IF THE WRENCH WAS REALLY WORN. IF YES, WHAT FEATURE OF THE WRENCH WAS WORN AND NOT MAKING IT FUNCTION AS INTENDED? ANSWER: 1. NO ADVERSE CONSEQUENCES TO THE PATIENT. 2. NO PIECES BROKE OFF AT ALL. THE INSTRUMENT PARTS INVOLVED WERE BEING SENT BACK JUST FOR YOUR REVIEW. 3. I COULDN¿T BE CERTAIN IF THE WRENCH WAS IN FACT WORN DOWN SO I SENT IT BACK FOR YOUR REVIEW.
Patient problems: Insufficient Information
MAUDE report 12599465 ↗MalfunctionJun 7, 2021Material Twisted/Bent; Material Twisted/Bent
IT WAS REPORTED THAT THE WRENCH IS WORN ON AND NEEDS TO BE REPLACED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 11946971 ↗MalfunctionNov 24, 2020Material Twisted/Bent; Material Twisted/Bent
IT WAS REPORTED THAT UPON TIGHTENING THE FINAL STEM, THE TORQUE WRENCH SLIPPED DURING THE PROCESS. APPEARS TO BE STRIPPED FROM USE. NO SURGICAL DELAY.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 10891548 ↗MalfunctionJul 10, 2020Material Twisted/Bent; Material Twisted/Bent
IT WAS REPORTED THAT THE ATUN REV ASSEM ADAPTOR GOT STRIPPED. NO SURGICAL DELAY.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 10256087 ↗MalfunctionMar 2, 2020Material Twisted/Bent; Material Twisted/Bent
IT WAS REPORTED THAT THE WRENCH IS STRIPPED. THERE WAS NOTHING LEFT IN PATIENT.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 9777719 ↗MalfunctionMay 6, 2019Physical Resistance/Sticking; Physical Resistance/Sticking
IT WAS REPORTED THAT THERE WAS AN INSTRUMENT THAT APPEARED TO NOT WORK CORRECTLY. THE 245600428 (STEM WRENCH) GOT STUCK ON THE STEM IMPLANT AND IT WAS DIFFICULT TO SEPARATE. IF YOU LOOK ON THE INSIDE OF THE WRENCH YOU CAN SEE WHERE THE CORNERS OF THE STEM BOUND WITH THE WRENCH.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 8583755 ↗MalfunctionFeb 7, 2018Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
TOLERENCE BETWEEN WRENCH AND IMPLANT CAUSED DAMAGE TO THE STEM PROSTHESIS.NO DELAY.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 7247756 ↗
Other WRENCH devices
- MONARCH 277040510Medos International Sàrl · WRENCH199 reports
- PINNACLE 2217-50-008Depuy (Ireland) · WRENCH108 reports
- SIGMA 96-1673Depuy (Ireland) · WRENCH102 reports
- P.F.C. 86-5189Depuy (Ireland) · WRENCH92 reports
- Veptr 03.641.004Synthes GmbH · WRENCH86 reports
- RECLAIM 2975-00-300Depuy (Ireland) · WRENCH51 reports
- PINNACLE 2217-50-006Depuy (Ireland) · WRENCH34 reports
- NA 388.261Synthes GmbH · WRENCH32 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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