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| Catalog Number |
421.502S |
| Medical Device Problem Code |
Adverse Event Without Identified Device or Use Problem (2993)
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| Health Effect - Clinical Codes |
Unspecified Infection (1930); Pain (1994); Fluid Discharge (2686); Swelling/ Edema (4577)
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| Date of Event |
04/09/2026
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Type of Reportable Event
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Serious Injury
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Event or Problem Description
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It was reported this case is from the health authority.The patient had surgery with plates and screws one and a half years ago.He recovered well and was discharged half a month later.However, 10 months later, the patient reported that the head prosthetic material was exposed, the scalp was defective, and a small amount of yellowish fluid was spilled on the exposed area.A second surgery was performed and the patient was discharged 10 days later with good recovery.Two months later, the patient had swelling and pain in the right temporal region for another week, and examination revealed effusion and blood.A third surgical procedure was then performed and the scalp was incised and approximately 5 cm in length with a large gush of fluid.It was considered that the infection could not be controlled, so the plate was removed and the patient recovered well.A fourth repair surgery is scheduled this month.
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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 medwatch, a follow-up medwatch will be filed as appropriate.
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Event or Problem Description
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Additional information received:
the event date should update to be 05-sep-2025.After investigation, the patient was implanted with peek skull plate of other company, and titanium plate and titanium nail from j&j (code: 421.502s, 400.834.04s, specific application unknown) for skull repair during the surgery.The hospital reported that the surgery went smoothly.Since the patient had repeated infection at the skull repair site about one year after the surgery, the doctor removed the implant and scheduled a secondary procedure.No subsequent adverse event reports were received.
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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.
h11 additional narrative:
added: b5, d10 concomitant
corrected: g1 manufacturer site, e1 facility name
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
device history lot = > part: 421.502s
lot: 256l852
manufacturing site: werk selzach
supplier: früh verpackungstechnik ag
release to warehouse date: 01 dec 2023
expiration date: 01 dec 2033
a manufacturing record evaluation was performed for the finished article lot and no non-conformances were identified.---------------------------------------------------------------------
non-sterile part # 421.502
non-sterile lot # 7772p19
manufacturing site: werk selzach
supplier: depuy synthes products, inc
release to warehouse date: 06 sep 2023
a manufacturing record evaluation was performed for the finished article lot and no non-conformances were 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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