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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SYNTHES (USA) CABLE CUTTER-LARGE; CUTTER,WIRE

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SYNTHES (USA) CABLE CUTTER-LARGE; CUTTER,WIRE Back to Search Results
Catalog Number 391.906
Device Problem Device Operates Differently Than Expected (2913)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 06/02/2014
Event Type  malfunction  
Event Description
It was reported that during veterinary surgery for a fracture repair on a radius bone on a canine while cutting the wire the surgeon noticed that both cutting instruments were chipped.The surgeon used another instrument that was available to complete the surgery.This resulted in an additional 5 minutes added to surgery time.It was reported that no fragments were observed during surgery.The surgery was completed successfully.No human patient was involved.This is report 1 of 2 for (b)(4).
 
Manufacturer Narrative
Device was used for treatment, not diagnosis.Device used in a veterinary case.No patient information will be reported.Device is an instrument and is not implanted/explanted.The lot number provided could not be verified 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.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
CABLE CUTTER-LARGE
Type of Device
CUTTER,WIRE
Manufacturer (Section D)
SYNTHES (USA)
1302 wrights lane east
west chester PA 19380
Manufacturer Contact
linda plews
1302 wrights lane east
west chester, PA 19380
6107195000
MDR Report Key3898513
MDR Text Key21526579
Report Number2520274-2014-12208
Device Sequence Number1
Product Code HXZ
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
PEXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,Company Representative
Reporter Occupation Other
Type of Report Initial
Report Date 06/02/2014
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number391.906
Device Lot NumberD274140000
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 06/02/2014
Initial Date FDA Received06/26/2014
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
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