MAUDE Adverse Event Report: SYNTHES GMBH DEPTH GAUGE F/CORTSCR Ø3.5 MEAS-RANGE UP

Catalog Number	319.091
Medical Device Problem Code	Break (1069)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported multiple devices are no longer functional.These issues did not impact patient outcomes.Below devices were found to be "release mechanism broken" during inspection: 03.043.028.Below devices were found to be "stripped threads" during inspection: 03.120.022, 312.648, 323.029.Below devices were found to be "nut stuck on sleeve" during inspection: 03.037.017, 03.037.016.Below devices were found to be "handle leaching/spd wil not sterilize" during inspection: 03.100.018.Below devices were found to be "broken handle" during inspection: 311.43.Below devices were found to be "stripped drill connection and 2nd is cold welded to a schanz pin" during inspection: 393.103.Below devices were found to be "broken sliding mechanism" during inspection: 319.091.Below devices were found to be "not snapping in" during inspection: 03.120.018, 03.120.017.Below devices were found to be "stripped" during inspection: 03.010.151, 314.467, 03.900.042, 03.130.010, 314.453, 03.010.150, 03.010.152.Below devices were found to be "not working properly" during inspection: 329.15.Below devices were found to be "not locking tension between trigger pulls" during inspection: 03.221.015.Below devices were found to be "not aligned" during inspection: 398.65.Below devices were found to be "not locking into aiming arm" during inspection: 03.231.007.Below devices were found to be "bent handle" during inspection: 393.1.Below devices were found to be "trigger detached from handle" during inspection: 03.221.007.Below devices were found to be "not sliding properly" during inspection: 319.006.Below devices were found to be "shaft pulls out of handle" during inspection: 314.118.Below devices were found to be "not locking on" during inspection: 351.16j.Below devices were found to be "binding on qc attachments" during inspection: 511.773.Below devices were found to be "ends not aligning" during inspection: 03.221.011.(b)(4) is the mother complaint.(b)(4) are related to each other and are created to capture additional ips.
Additional Manufacturer Narrative
Prodproduct complaint #(b)(4) this report is being submitted pursuant to the provisions of 21 cfr, part 803 (and/or part 4, as applicable).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.Additional narrative: d4: udi: as the lot number for the device involved in the event was not provided, the full udi is currently not available.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Additional 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.H11 additional narrative: added: d4 (lot, expiration date), d9, h4 corrected: d4 primary udi number the device was received, the investigation is in progress, no conclusion could be drawn at the time of filing this report.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Additional 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.H11 additional narrative: added: b5, d10 (concomitant) if information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Event or Problem Description
Additional information received: a.Date of event (if available): items identified at various times in preop testing over the last few months.B.What is the timing of the reported event? (pre-op, intra-op, post-op) pre-op.
Additional 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.H11 additional narrative: h3, h6: the product was returned to depuy synthes for evaluation.Visual inspection of the returned device found only the slider and the depth gauge body with hook were returned.Breakage was not identified, however, due to the damage observed, the reported event can be confirmed.The observed condition of the device can be consistent with a component failure that was caused by exposure to unintended forces.However, with available evidence, the complete potential cause can not be determined.A functional test was unable to be performed due to the post-manufacturing damage.A dimensional inspection was unable to be performed due to the post-manufacturing damage.The overall complaint was confirmed as the observed condition of the depth gauge f/cortscr ø3.5 meas-range up would have contributed to the complained device issue.Based on the investigation findings, it has been determined that no corrective and/or preventative action is proposed.There is no indication that a design or manufacturing issue has caused the reported complaint condition.As part of depuy synthes quality process, all devices are manufactured, inspected, and released to approved specifications.Additional monitoring for any potential safety signals will be conducted through complaint trending and other post-market safety surveillance activities.Device history lot: part: 319.091, synthes lot: j000666, supplier lot: j000666, supplier: (b)(4), release to warehouse date: aug 02, 2021.No ncrs generated during production.Device history batch: null.Device history review: review of the device history record(s) showed that there were no issues during the manufacture of this product, and any sub-components, which would contribute to this complaint condition.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Additional 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.H11 additional narrative: added: d10.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.

• Brand Name: DEPTH GAUGE F/CORTSCR Ø3.5 MEAS-RANGE UP
• Common Device Name: DEPTH GAUGE
• Manufacturer (Section D): SYNTHES GMBH; luzernstrasse 19-21; zuchwil 4528 ; SZ 4528
• Manufacturer (Section G): MONUMENT; 1101 synthes avenue; monument CO 80132
• Manufacturer Contact: elba bello ; 1302 wright lane east; west chester, PA 19380 ; 9083863534
• MDR Report Key: 24179477
• Report Number: 8030965-2026-00874
• Device Sequence Number: 9524217
• Product Code: HTJ
• UDI-Device Identifier: 10886982190000
• UDI-Public: (01)10886982190000(17)411231(10)J000666
• Combination Product (Y/N): N
• Initial Reporter State: FL
• Initial Reporter Country: US
• PMA/510(K) Number: EXEMPT
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Health Professional,Company Representative
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup,Followup,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 Number: 319.091
• Device Lot Number: J000666
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Follow-Up
• Initial Date Received by Manufacturer: 01/12/2026
• Supplement Date Received by Manufacturer: 01/28/2026; 02/24/2026; 02/27/2026; 03/16/2026
• Initial Report FDA Received Date: 01/26/2026
• Supplement Report FDA Received Date: 02/02/2026; 02/26/2026; 03/02/2026; 03/20/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 08/02/2021
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Concomitant Medical Products and Therapy/Usage Dates: BALL SPIK STRAIG W/POINTED BALL TIPS Ø6.; CABLE TENSIONER ONE-H+OPERABLE.; CERCL-PASSER Ø60 MIN-INVASIVE.; FLEX SFT CONNECTOR FOR USE JACOBS CHUCK.; FORCEPS FOR BROKEN SCREW REMOVAL.; GUIDE SLEEVE F/AIMING ARM INSTR F/VA-LCP.; HANDLE WITH QUICK COUPLING, LENGTH 110 MM.; TORQUE LIMITER 1.5NM F/AO/ASIF.; UNIV-CHUCK W/T-HANDLE.
• Patient Sex: Unknown