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| Catalog Number |
SD03.043.029 |
| Medical Device Problem Code |
Device-Device Incompatibility (2919)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
02/02/2026
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Type of Reportable Event
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Malfunction
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Event or Problem Description
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It was reported that connect f/expert han f/03.008.007, tna connecting tube tna arm, and aiming arm assembly tna arm were involved in an event where the strike cap and tna connecting tube became wedged together, making it impossible for staff to disassemble the devices.Attempts to remove the components placed significant stress on the patient, leading to a change in the removal approach.All three pieces remained stuck together after the procedure.There was no reported patient consequence or clinical symptoms as a result of the event.
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Additional Manufacturer Narrative
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Product 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.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
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Additional Manufacturer Narrative
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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: h4 h3, h6: photo investigation the product was not returned to depuy synthes, however photos were provided for review.The device associated with this report was not returned to depuy synthes for evaluation.The photographs attached were reviewed, however, the provided evidence was not sufficient to confirm the reported event of unable to assemble/disassemble.Functionality issues cannot be evaluated through a photo investigation.Since the device was not returned, a dimensional inspection cannot be performed.The overall complaint was not confirmed as the observed condition of the aiming arm assembly tna arm would not contribute 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 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 number: sd03.043.029-us lot number: 6660p96 part manufacture date: 02/28/2024 manufacturing location: brandywine part expiration date: n/a device history review = > nonconformance (b)(4), initiated 02/21/2024 at op.0020 srg/srt inspect, identified a cmm data sheet characteristic "section c-c projected position" (item #29 on f·s1187 inspection sheet) with a nonconforming value impacting 1 part of lot 6660p96.The entire lot was dispositioned ¿use-as-ls¿ (uai) per the 100329212, use as-is technical justification form provided by jjmd srg engineering.No other manufacturing irregularities had been identified.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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Search Alerts/Recalls
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