MAUDE Adverse Event Report: SYMMETRY SURGICAL INC. SYMMETRY® HOOK, WEARY NERVE, BLUNT, FINE; WEARY NERVE HOOK

Model Number	38-1020
Medical Device Problem Code	Break (1069)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
We are in process of trrying to get the device returned for evaluation.The investigation is ongoing.Once additional relevant information is identified, it will be submitted in a supplemental report.
Event or Problem Description
Complainant alleges "resident md notified staff in the room that the tip of the surgical instrument (nerve hook) he was using broke off while he was using it on the patient.Broken piece was successfully retrieved from inside the patient and given to rn along with the instrument.".
Additional Manufacturer Narrative
The device was not returned for evaluation, no pictures were provided, and lot number was not provided despite multiple attempts to obtain additional information.The complaint could not be confirmed and no root cause was determined.If any additional relevant information is identified, it will be submitted in a supplemental report.

• Brand Name: SYMMETRY® HOOK, WEARY NERVE, BLUNT, FINE
• Common Device Name: WEARY NERVE HOOK
• Manufacturer (Section D): SYMMETRY SURGICAL INC.; 3034 owen drive; antioch TN 37013
• Manufacturer Contact: terry hall ; 3034 owen drive; antioch, TN 37013 ; 6166987100
• MDR Report Key: 23007384
• Report Number: 3007208013-2025-00049
• Device Sequence Number: 10517120
• Product Code: GDG
• UDI-Device Identifier: 00887482012147
• UDI-Public: 00887482012147
• Combination Product (Y/N): N
• Initial Reporter State: PA
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Health Professional,User Facility
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date (Section B): 11/05/2025

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 Model Number: 38-1020
• Device Lot Number: UNKNOWN
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 08/13/2025
• Supplement Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 09/09/2025
• Supplement Report FDA Received Date: 11/05/2025
• Was Device Evaluated by Manufacturer? (Y/N): No
• 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: Reuse
• Patient Sequence Number: 1
• Patient Sex: Female
• Patient Ethnicity: Non Hispanic
• Patient Race: White