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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SYNTHES GMBH NAIL EXTRACTOR; ROD, FIXATION, INTRAMEDULLARY

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SYNTHES GMBH NAIL EXTRACTOR; ROD, FIXATION, INTRAMEDULLARY Back to Search Results
Catalog Number 03.037.032
Device Problems Improper or Incorrect Procedure or Method (2017); Device-Device Incompatibility (2919)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 10/13/2023
Event Type  malfunction  
Event Description
Device report from synthes reports an event in japan as follows: it was reported that on (b)(6) 2023, the patient underwent a removal surgery of tfna implants.The surgeon complained that it was very difficult to tell which connection was clockwise or counterclockwise for the extract-instr f/nails and extract-instr f/tfna helical blade+scr.The surgeon also commented as follows: in the text of the surgical technique, there is no distinction made between whether the removal screw is attached to the nail or the blade.In the explanatory diagram, the nail removal screw is first followed by the blade removal screw, but the text is written in the reverse order.The surgery was completed successfully with no surgical delay this report involves one (1) nail extractor.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.If the information is unknown, not available or does not apply, the section/field of the form is left blank.H10 additional narrative: d9: complainant part is not expected to be returned for manufacturer review/investigation.E3: reporter is a j&j employee.H3, h4, h6: 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.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.
 
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Brand Name
NAIL EXTRACTOR
Type of Device
ROD, FIXATION, INTRAMEDULLARY
Manufacturer (Section D)
SYNTHES GMBH
eimattstrasse 3
oberdorf 4436
SZ  4436
Manufacturer (Section G)
MONUMENT
1101 synthes avenue
monument CO 80132
Manufacturer Contact
kate karberg
1302 wright lane east
west chester, PA 19380
3035526892
MDR Report Key18073213
MDR Text Key327399737
Report Number8030965-2023-13938
Device Sequence Number1
Product Code HSB
UDI-Device Identifier07611819642584
UDI-Public07611819642584
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
K131548
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/06/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number03.037.032
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received10/18/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
Treatment
EXTRACT-INSTR F/TFNA HELICAL BLADE+SCR.; UNK - NAIL HEAD ELEM: TFNA HELICAL BLADE.; UNK - NAILS: TFNA.; UNK - SCREWS: LOCKING.
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