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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SYNTHES GMBH BURR ATTACHMENT-MEDIUM FOR PEN DRIVE; DRILLS, BURRS, TREPHINES & ACCESSORIES (SIMPLE, POWERED)

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SYNTHES GMBH BURR ATTACHMENT-MEDIUM FOR PEN DRIVE; DRILLS, BURRS, TREPHINES & ACCESSORIES (SIMPLE, POWERED) Back to Search Results
Catalog Number 05.001.046
Medical Device Problem Codes Improper or Incorrect Procedure or Method (2017); Excessive Heating (4030)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/08/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes, or its employees that the report constitutes an admission that the product, 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 this medwatch, a supplemental medwatch report will be filed as appropriate.H10 additional narrative: as of this date, the device has not been returned for evaluation; therefore, the reported condition cannot be confirmed and/or duplicated.
 
Event or Problem Description
This is report 3 of 4 for (b)(4).It was reported that in several cases, during an oral surgical procedure it was reported that the electric pen drive device (epd) and the medium burr attachment were heating up during use.It was reported that the devices were too hot to the touch.It was reported that there was a 5-minute delay in the procedure due to the event and a spare handpiece device was available for use, and the procedure was successfully completed.It was reported that the devices were properly inspected.There were no reports of injuries, medical intervention or prolonged hospitalization.All available information has been disclosed.If additional information should become available, a supplemental medwatch will be submitted accordingly.
 
Additional Manufacturer Narrative
This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes, or its employees that the report constitutes an admission that the product, 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 this medwatch, a supplemental medwatch report will be filed as appropriate.H10 additional narrative: d4.The device lot number and udi have been updated.Correction b5: upon further investigation additional information was received from the reporter.The reporter stated that a total of 4 cases were performed.It was reported that 3 out of the 4 cases they used the burr, and it was mentioned that it was hot.The last case they were alerted that it was abnormally hot.
 
Event or Problem Description
Updated event description: this is report 3 of 4 for (b)(4).It was reported during an oral surgical procedure it was observed that two electric pen drive devices and the two burr attachment devices were heating up during use.It was reported that the devices were too hot to the touch.It was reported that there was a 5-minute delay in the procedure due to the event and a spare handpiece device was available for use, and the procedure was successfully completed.It was reported that the devices were properly inspected.There were no reports of injuries, medical intervention or prolonged hospitalization.All available information has been disclosed.If additional information should become available, a supplemental medwatch will be submitted accordingly.
 
Additional Manufacturer Narrative
This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes, or its employees that the report constitutes an admission that the product, 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 this medwatch, a supplemental medwatch report will be filed as appropriate.H10 additional narrative: device evaluation: this device was returned for evaluation.A visual and functional assessment was performed which determined that the device passed all pre-repair diagnostic assessments, and no failures were identified.Therefore, the reported condition was not confirmed, and an assignable root cause was not determined.
 
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Brand Name
BURR ATTACHMENT-MEDIUM FOR PEN DRIVE
Common Device Name
DRILLS, BURRS, TREPHINES & ACCESSORIES (SIMPLE, POWERED)
Manufacturer (Section D)
SYNTHES GMBH
eimattstrasse 3
oberdorf 4436
SZ  4436
Manufacturer Contact
kate karberg
eimattstrasse 3
oberdorf 4436
SZ   4436
3035526892
MDR Report Key22069742
Report Number8030965-2025-05125
Device Sequence Number15629050
Product Code HBE
UDI-Device Identifier07611819167926
UDI-Public(01)07611819167926(10)1623028
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
K043310
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,User Facility,Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup,Followup
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
Operator of Device Health Professional
Device Catalogue Number05.001.046
Device Lot Number1623028
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/09/2025
Supplement Date Received by Manufacturer05/21/2025
08/05/2025
Initial Report FDA Received Date05/22/2025
Supplement Report FDA Received Date05/28/2025
08/05/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
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