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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SYNTHES GMBH 10MM CANNULATED TAPERED DRILL BIT

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SYNTHES GMBH 10MM CANNULATED TAPERED DRILL BIT Back to Search Results
Catalog Number 03.037.021
Device Problem Noise, Audible (3273)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/24/2023
Event Type  malfunction  
Event Description
Device report from synthes reports an event in canada as follows: it was reported that on (b)(6) 2023, the lag screw drill bit was grinding metal on metal through guide sleeve.There is no patient consequence.This report involves one (1) 10mm cannulated tapered drill bit.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: d10 therapy date: july 24, 2023.H3, h4, h6: part: 03.037.021.Lot no: f-25420.Release to warehouse date:19 nov 2018.Manufacturing site: werk selzach.Supplier: sphinx werkzeuge ag.A manufacturing record evaluation was performed for the finished article lot and no non-conformances were identified.The product was returned to depuy synthes for evaluation.The depuy synthes team conducted a visual inspection of the returned device.Visual analysis of the returned sample revealed that 10mm cannulated tapered drill bit was found blunting/rounding of cutting edges.It is not unreasonable that the condition identified in visual analysis would contribute to a dull condition.The observed condition was consistent as an end of life indicator for the device.No other issues were identified.A functional test was performed with the mating screw only guide sleeve part number 03.037.117 and no sounds/vibration/grinding during the interaction could be detected.The complaint condition was not able to be replicated.The device exhibits damage consistent with repeated use.The lifecycle requirements of the device are event related and depend on the use and inspection of the device in clinical practice.As the device can be damaged on the first or 100th use, the device must be properly inspected prior to each surgical use.Refer to the device/country specific ifu for information related to end of life, reprocessing instructions, and inspection procedures.As part of depuy synthes quality process, all devices are manufactured, inspected, and released to approved specifications.The overall complaint was confirmed as the observed dullness condition of 10mm cannulated tapered drill bit would have contributed to the complained issue.There is no indication that a design or manufacturing issue has caused the complaint condition.It was determined that the reusable instrument was worn from repeated use and servicing.Based on the investigation findings, it has been determined that no corrective and/or preventative action is proposed.Additional monitoring for any potential safety signals will be conducted through complaint trending and other post-market safety surveillance activities.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
10MM CANNULATED TAPERED DRILL BIT
Type of Device
DRILL BIT
Manufacturer (Section D)
SYNTHES GMBH
eimattstrasse 3
oberdorf 4436
SZ  4436
Manufacturer (Section G)
SYNTHES SELZACH
bohackerweg 5
selzach 2545
SZ   2545
Manufacturer Contact
kate karberg
1302 wright lane east
west chester, PA 19380
3035526892
MDR Report Key18104419
MDR Text Key328646684
Report Number8030965-2023-14175
Device Sequence Number1
Product Code HTW
UDI-Device Identifier10886982070371
UDI-Public10886982070371
Combination Product (y/n)N
Reporter Country CodeCA
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/09/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number03.037.021
Device Lot NumberF-25420
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer10/19/2023
Is the Reporter a Health Professional? Yes
Date Manufacturer Received10/26/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured11/19/2018
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
SCREW ONLY GUIDE SLEEVE; UNK - SCREWS: LAG
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