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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SYNTHES GMBH ELECTRIC PEN DRIVE 60,000 RPM; DRILL, SURGICAL, ENT (ELECTRIC OR PNEUMATIC) INCLUDING HANDPIECE

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SYNTHES GMBH ELECTRIC PEN DRIVE 60,000 RPM; DRILL, SURGICAL, ENT (ELECTRIC OR PNEUMATIC) INCLUDING HANDPIECE Back to Search Results
Catalog Number 05.001.010
Medical Device Problem Codes Complete Loss of Power (4015); Intermittent Loss of Power (4016)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/01/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during service and evaluation, it was determined that the electric pen drive device had intermittent operation, and moving parts of the device were not moving smoothly.It was noted that the handpiece runs on forward and reverse mode without being prompted but stays off in locked mode, there is also the occasional rough running.It was further determined that the device failed pretest for check for unintended motion and check general function with test hand switch.This event did not occur during surgery.There were no reports of injuries, medical intervention, or prolonged hospitalization.The exact date of the event was not reported; however, it was reported that the event occurred in 2026.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: the actual device was returned for evaluation.During repair, an evaluation was performed and the reported condition that the device was not functioning properly was not confirmed.Therefore, an assignable root cause was not determined.However, during evaluation it was determined that the device had intermittent operation.The assignable root cause of this condition was determined to be traced to component failure due to wear.
 
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Brand Name
ELECTRIC PEN DRIVE 60,000 RPM
Common Device Name
DRILL, SURGICAL, ENT (ELECTRIC OR PNEUMATIC) INCLUDING HANDPIECE
Manufacturer (Section D)
SYNTHES GMBH
eimattstrasse 3
oberdorf 4436
SZ  4436
Manufacturer Contact
elba bello
eimattstrasse 3
oberdorf 04436
SZ   04436
9083863534
MDR Report Key24470919
Report Number8030965-2026-02005
Device Sequence Number9581770
Product Code ERL
UDI-Device Identifier07611819167711
UDI-Public(01)07611819167711
Combination Product (Y/N)N
Initial Reporter CountrySN
PMA/510(K) Number
K043310
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,User Facility,Company Representative
Initial Reporter Occupation Other
Type of Report Initial
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 Number05.001.010
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/09/2026
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/26/2026
Initial Report FDA Received Date02/27/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured11/09/2021
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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