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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SYNTHES GMBH 1.5MM LCP CONDYLAR PLATE 6 HOLE SHAFT; PLATE,FIXATION,BONE

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SYNTHES GMBH 1.5MM LCP CONDYLAR PLATE 6 HOLE SHAFT; PLATE,FIXATION,BONE Back to Search Results
Catalog Number 02.114.014
Device Problem Device-Device Incompatibility (2919)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 05/06/2021
Event Type  malfunction  
Event Description
Device report from synthes reports an event in (b)(6) as follows: it was reported that on (b)(64), 2021, the patient underwent open reduction internal fixation surgery for distal radius fracture.Before the surgery, the surgeon checked the attachment of the plate in question to the drill sleeve (03.114.001).The drill sleeve, which is normally wearable, was idling and could not be attached only to the right hole of the plate t-shaped part.The surgery was completed without any surgical delay.The patient outcome was unknown.No further information is available.This complaint involves two (2) devices.This report is for (1) 1.5mm lcp condylar plate 6 hole shaft.This report is 1 of 2 for (b)(4).
 
Manufacturer Narrative
Product complaint # (b)(4).Complainant part is expected to be returned for manufacturer review/ investigation but has yet to be received.Without a lot number, the device history records review could not be completed as no product was received.The investigation could not be completed, no product was received; no conclusion could be drawn at the time of filing 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.
 
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.H3, h6: part number: 02.114.014, lot number: h439390, part manufacture date: 06-sep-2017, manufacturing location: elmira, part expiration date: n/a, nonconformance noted: n/a.Dhr record review: a review of the device history record revealed no complaint related anomalies.The device history record shows this lot of 1.5mm lcp condylar plate 6 hole shaft product was processed through the normal manufacturing and inspection operations with no rework nor nonconformities noted.This lot met all dimensional, visual, and packaging criteria at the time of release with no issues documented during the manufacture that would contribute to this complaint condition.A review of the raw material device history record revealed this lot met all specifications with no nonconformance noted.This raw material lot met all dimensional and visual criteria at the time of manufacture with no issues documented during the manufacture that would contribute to this complaint condition.The product was returned to us customer quality (cq) for evaluation.The us cq team conducted a visual inspection of the returned device.Visual analysis of the returned sample revealed that locking cond pl 1.5 shaft 6ho he 2ho sst the plate was having slight scratches and no issues were identified.The dimensional inspection was not performed for the locking cond pl 1.5 shaft 6ho he 2ho sst due to alleged complaint condition.The functional test was not performed since the device was received by itself.The observed unable to assemble of the components is not consistent with the complaint condition since the functional test cannot be performed.As part of depuy synthes quality process, all devices are manufactured, inspected, and released to approved specifications.The overall complaint was not confirmed for locking cond pl 1.5 shaft 6ho he 2ho sst.There is no indication that a design or manufacturing issue has caused the complaint condition and hence the root cause cannot be determined.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.Drawing/specifications reviewed? the following drawing reflecting the current and manufacture revision was reviewed: 1.5 mm condylar plate 1.5 lcp modular mini frag.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.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.
 
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Brand Name
1.5MM LCP CONDYLAR PLATE 6 HOLE SHAFT
Type of Device
PLATE,FIXATION,BONE
Manufacturer (Section D)
SYNTHES GMBH
eimattstrasse 3
oberdorf 4436
SZ  4436
MDR Report Key11930079
MDR Text Key280684758
Report Number8030965-2021-04520
Device Sequence Number1
Product Code HRS
UDI-Device Identifier07611819392915
UDI-Public(01)07611819392915
Combination Product (y/n)N
PMA/PMN Number
K090047
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,other
Type of Report Initial,Followup
Report Date 05/07/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/03/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number02.114.014
Device Lot NumberH439390
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/16/2021
Date Manufacturer Received08/16/2021
Patient Sequence Number1
Treatment
LCP DRILL SLEEVE 1.5 F/DRILL BIT Ø1.1
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