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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SYNTHES GMBH SAGITTAL SAW ATTACHMENT, LONG, FOR TRS; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT

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SYNTHES GMBH SAGITTAL SAW ATTACHMENT, LONG, FOR TRS; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Catalog Number 05.001.224
Medical Device Problem Codes Mechanical Jam (2983); Complete Loss of Power (4015)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/01/2026
Type of Reportable Event Malfunction
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.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.H11 additional narrative: a visual and functional assessment was performed on the device.The following steps failed: section 10: general condition section 30: check saw blade screw coupling section 60: check pins length of handpiece coupling section 70: check general function in running mode section 80: check the oscillation frequency with frequency meter.During the service evaluation the following failures were identified: functional: loose - coupling functional: frozen/will not move functional: locking mechanism stiff/stuck visual: component damaged.Conclusion: ¿ failure reported is confirmed ¿ root cause: component failure from wear.
 
Event or Problem Description
It was reported that during service and evaluation, it was determined that the saw attachment device was frozen/will not move.It was noted in the service order that the device did not work prior to surgery.There were no reports of injuries, medical intervention or prolonged hospitalization.The exact date of the event was unknown.All available information has been disclosed.
 
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Brand Name
SAGITTAL SAW ATTACHMENT, LONG, FOR TRS
Common Device Name
INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT
Manufacturer (Section D)
SYNTHES GMBH
eimattstrasse 3
oberdorf 4436
SZ  4436
Manufacturer Contact
elba bello
eimattstrasse 3
oberdorf 4436
SZ   4436
9083863534
MDR Report Key25001660
Report Number8030965-2026-03848
Device Sequence Number18613214
Product Code HWE
UDI-Device Identifier07611819377929
UDI-Public(01)07611819377929(20)15
Combination Product (Y/N)N
Initial Reporter CountryNL
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
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 Number05.001.224
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer03/31/2026
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/17/2026
Initial Report FDA Received Date04/27/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/23/2023
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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