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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: OBERDORF SYNTHES PRODUKTIONS GMBH CONDYL-PL 95 14HO L60 TI; IMPLANT, FIXATION DEVICE, CONDYLAR PLATE

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OBERDORF SYNTHES PRODUKTIONS GMBH CONDYL-PL 95 14HO L60 TI; IMPLANT, FIXATION DEVICE, CONDYLAR PLATE Back to Search Results
Catalog Number 437.MAB.13980
Device Problem Break (1069)
Patient Problem No Code Available (3191)
Event Type  Injury  
Manufacturer Narrative
Without a lot number the device history records review could not be completed.Product was not returned.Based on the information available, it has been determined that no corrective and/or preventative action is proposed.This complaint will be accounted for and monitored via post market surveillance activities.If additional information is made available, the investigation will be updated as applicable.(b)(4).Device was used for treatment, not diagnosis.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
 
Event Description
Device report from synthes reports an event in (b)(6) as follows: it was reported that on an unknown date, a condylar plate was broken.The patient underwent revision surgery on (b)(6) 2020.No further information reported.Concomitant device reported: unknown screw (part# unknown, lot# unknown, quantity unknown).This report is for one (1) 4.5mm va-lcp curved condylar plate/14 hole/301mm/right.This is report 1 of 1 for (b)(4).
 
Manufacturer Narrative
Depuy synthes is submitting this report pursuant to the provisions of 21 cfr, part 803.This report may be based on information which depuy synthes has not been able to investigate or verify prior to the required reporting date.This report does not reflect a conclusion by fda, depuy synthes or its employees that the report constitutes an admission that the device, depuy synthes, or its employees caused or contributed to the potential event described in this report.G4: date received by manufacturer on the initial report should be june 2, 2020.Investigation summary: investigation site: customer quality (cq) zuchwil, selected flow: damaged: visual | examples: deformed/bent/cracked/broken.Visual inspection: the plate is broken apart at the crossover from the flat part to the first bend at the upper part of the first slotted hole.In general is the device is in a used condition with scratches and wear marks all over.Dimensional inspection: checked dimensions with caliper per drawing: plate width specification = pass plate thickness specification = pass slot width specification = pass.Drawing specification review: drawing was reviewed to verify the relevant dimensions of the plate and the material specification.The review of the manufacturing documents has shown that the correct material for unalloyed titanium implants for surgery.Investigation conclusion: the complaint is confirmed as the plate is broken as complained.During the performed evaluation no manufacturing related issue could be detected.This lot was manufactured in september 2002 and we are not aware of any other complaint for this article- and lot combination.Based on the provided information the exact cause of this occurrence cannot be defined.We can only assume that any occurrence during the healing process, e.G.Non-union, delayed union, mal-union, overloading of the osteosynthesis or a combination of different factors, did lead to a fatigue failure.Based on the investigation findings, it has been determined that no corrective and/or preventative action is proposed as no product related issue could be detected.Additional monitoring for any potential safety signals will be conducted through complaint trending and other post market safety surveillance activities.Device history lot: part: 437.Mab.13980, lot: 2043463, manufacturing site: bettlach, supplier: (b)(4), release to warehouse date: september 18, 2002.A manufacturing record evaluation was performed for the finished device lot number, and no non-conformances were identified.Device was used for treatment, not diagnosis.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
 
Manufacturer Narrative
Depuy synthes is submitting this report pursuant to the provisions of 21 cfr, part 803.This report may be based on information which depuy synthes has not been able to investigate or verify prior to the required reporting date.This report does not reflect a conclusion by fda, depuy synthes or its employees that the report constitutes an admission that the device, depuy synthes, or its employees caused or contributed to the potential event described in this report.Device was used for treatment, not diagnosis.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
 
Event Description
Concomitant devices reported: cortex screw (part#: 414.832, lot#: 1l37459, quantity: 1), cortex screw (part#: 414.832, lot#: 6l00456, quantity: 1), cortex screw (part#: 414.834, lot#: 2l39036, quantity: 1), cortex screw (part#: 414.836, lot#: 5l46201, quantity: 1), cortex screw (part#: 414.838, lot#: l780760, quantity: 1), cortex screw (part#: 414.856, lot#: l407034, quantity: 1), cortex screw (part#: 414.880, lot#: l776304, quantity: 1), cancellous bone screw (part#: 418.050, lot#: 9231986, quantity: 1), cancellous bone screw (part#: 418.075, lot#: l358321, quantity: 1).
 
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Brand Name
CONDYL-PL 95 14HO L60 TI
Type of Device
IMPLANT, FIXATION DEVICE, CONDYLAR PLATE
Manufacturer (Section D)
OBERDORF SYNTHES PRODUKTIONS GMBH
eimattstrasse 3
oberdorf 4436
SZ  4436
MDR Report Key10138721
MDR Text Key194781149
Report Number8030965-2020-04039
Device Sequence Number1
Product Code JDP
UDI-Device Identifier07611819454101
UDI-Public(01)07611819454101
Combination Product (y/n)N
PMA/PMN Number
K110354
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup,Followup
Report Date 06/02/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/10/2020
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number437.MAB.13980
Device Lot Number2043463
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/06/2020
Date Manufacturer Received07/27/2020
Patient Sequence Number1
Treatment
4.5 VACRVD CONDY PL/14H/301/RT; CANCELLOUSSCR Ø6.5 FULL-THR L50 TI; CANCELLOUSSCR Ø6.5 FULL-THR L75 TI; CORTSCR Ø4.5 SELF-TAP L32 TI; CORTSCR Ø4.5 SELF-TAP L32 TI; CORTSCR Ø4.5 SELF-TAP L34 TI; CORTSCR Ø4.5 SELF-TAP L36 TI; CORTSCR Ø4.5 SELF-TAP L38 TI; CORTSCR Ø4.5 SELF-TAP L56 TI; CORTSCR Ø4.5 SELF-TAP L80 TI; UNK - SCREWS: TRAUMA
Patient Outcome(s) Required Intervention;
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