Model Number 04.503.226.01 |
Device Problem
Break (1069)
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Patient Problem
No Code Available (3191)
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Event Type
Injury
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Manufacturer Narrative
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Additional product code: jey.Device malfunctioned intra-operatively and was not implanted / explanted.Complainant part is not expected to be returned for manufacturer review/investigation.Initial reporter is synthes sales consultant.Facility telephone is not available for reporting.Without a lot number the device history records review could not be completed.The investigation could not be completed; no conclusion could be drawn, as no product was received.(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.
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Event Description
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It was reported that during a facial fracture procedure on an unknown date, the screw heads of two (2) titanium matrixmidface screws broke during final tightening.The broken fragments were removed easily.However, the screw shaft, as well as a portion of the screw heads remain embedded in the patient.A surgical delay of five minutes occured as a result of the removal of the part of the broken screw head.There was no patient harm.Concomitant devices reported: screwdriver (part number unknown, lot number unknown, quantity 1).This report is for one (1) titanium matrixmidface screw self-drilling 6mm.This is report 1 of 2 for (b)(4).
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Manufacturer Narrative
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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.Event: clarified event circumstances.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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Event Description
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The screws broke while being tightened by hand with an unknown screwdriver.
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Search Alerts/Recalls
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