| Brand Name | 3.5MM DRILL BIT/QC/110MM |
| Common Device Name | BUR, SURGICAL, GENERAL & PLASTIC SURGERY |
| 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 | 25067134 |
| Report Number | 8030965-2026-04168 |
| Device Sequence Number | 18748216 |
| Product Code |
GFF
|
| UDI-Device Identifier | 10886982186515 |
| UDI-Public | (01)10886982186515(10)66254P3 |
| Combination Product (Y/N) | N |
| Initial Reporter State | UT |
| 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 | 310.35 |
| Device Lot Number | 66254P3 |
| 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 | 04/11/2026 |
| Supplement Date Received by Manufacturer | 05/13/2026 05/19/2026 05/25/2026 06/10/2026
|
| Initial Report FDA Received Date | 05/04/2026 |
| Supplement Report FDA Received Date | 05/14/2026 05/20/2026 05/26/2026 06/10/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 05/15/2025 |
| 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 Number | 1 |
| Patient Sex | Unknown |