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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SYNTHES GMBH VERTEBRAL BODY SPREADER- ANGLED; FORCEPS

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SYNTHES GMBH VERTEBRAL BODY SPREADER- ANGLED; FORCEPS Back to Search Results
Catalog Number PDL114
Medical Device Problem Code Material Integrity Problem (2978)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/24/2026
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.
 
Event or Problem Description
It was reported on 24apr2026 by a distributor it was discovered that a vertebral spreader had a broken ratchet.This was discovered prior to surgery.There was no harm to the patient and no surgical delay.
 
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Brand Name
VERTEBRAL BODY SPREADER- ANGLED
Common Device Name
FORCEPS
Manufacturer (Section D)
SYNTHES GMBH
luzernstrasse 19-21
zuchwil 4528
SZ  4528
Manufacturer (Section G)
SYNTHES TUTTLINGEN
unter hasslen 5
tuttlingen CO
GM  
Manufacturer Contact
elba bello
1302 wright lane east
west chester, PA 19380
9083863534
MDR Report Key25253944
Report Number8030965-2026-04826
Device Sequence Number13398085
Product Code HTD
UDI-Device Identifier10705034700212
UDI-Public(01)10705034700212(10)A7NA52
Combination Product (Y/N)N
Initial Reporter CountryUS
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 Health Professional,Distributor
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,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 NumberPDL114
Device Lot NumberA7NA52
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 04/24/2026
Supplement Date Received by Manufacturer05/26/2026
06/12/2026
06/25/2026
Initial Report FDA Received Date05/22/2026
Supplement Report FDA Received Date05/27/2026
06/17/2026
06/26/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
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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