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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SYNTHES GMBH INSERT-HANDLE HYBRID; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES

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SYNTHES GMBH INSERT-HANDLE HYBRID; ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES Back to Search Results
Catalog Number 03.037.011
Medical Device Problem Codes Device-Device Incompatibility (2919); Material Twisted/Bent (2981)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/07/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
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 medwatch, a follow-up medwatch will be filed as appropriate.D4: udi: as the lot number for the device involved in the event was not provided, the full udi is currently not available.
 
Event or Problem Description
It was reported during routine medical device reprocessing, medical devices reprocessing staff identified issues with 3 instruments: the threads of instrument 03.010.523 were found to be stripped badly, and upon testing would no longer thread into instrument 03.037.011.It was identified that the inner threads of complained item 03.037.011 were stripped and would not accept the mating threads of complained instrument 03.010.523.In addition, the underside of the carbon fibre handle of item 03.037.011 was identified to be rough, sharp and jagged.In addition, it was identified that the inner ball bearing contained within complained item 03.010.072 was missing, rendering the instrument to be no longer functional.Each of the aforementioned complained items was deemed to be no longer functional and they were each subsequently discarded.No additional information is available.
 
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.H6 component codes: most relevant component code is g07002 (appropriate term/code not available) to capture no findings available due to no product returned.Investigation summary: product was not returned.Based on the information available, it has been determined that no corrective and preventative action is proposed.This complaint will be accounted for and monitored via post market surveillance activities.If additional information is made available, the investigation will be updated as applicable.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
INSERT-HANDLE HYBRID
Common Device Name
ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES
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 Key24416227
Report Number8030965-2026-01807
Device Sequence Number21484727
Product Code HSB
UDI-Device Identifier07611819642379
UDI-Public(01)07611819642379
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
K131548
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,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 Number03.037.011
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 02/08/2026
Supplement Date Received by Manufacturer03/17/2026
Initial Report FDA Received Date02/23/2026
Supplement Report FDA Received Date03/20/2026
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 Unknown
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
DEPTH GAUGE F/LOCK-SCR MEAS-RANGE-110 F/.; DRIVING CAP F/INSERTION HANDLE.
Patient SexUnknown
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