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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SYNTHES GMBH MATRIXNEURO; PLATE, CRANIOPLASTY, PREFORMED, ALTERABLE

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SYNTHES GMBH MATRIXNEURO; PLATE, CRANIOPLASTY, PREFORMED, ALTERABLE Back to Search Results
Catalog Number 04.503.104.01C
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/20/2026
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 report, a follow-up report will be filed as appropriate.
 
Event or Problem Description
It was reported that during the surgery, the screw was broken, all the pieces were removed from the patient.Changed another one to continue the surgery, the same problem happened again.Another device was used to complete the surgery.There were no adverse consequences to the patient.
 
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Brand Name
MATRIXNEURO
Common Device Name
PLATE, CRANIOPLASTY, PREFORMED, ALTERABLE
Manufacturer (Section D)
SYNTHES GMBH
eimattstrasse 3
oberdorf 4436
SZ  4436
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 Key25349272
Report Number8030965-2026-05011
Device Sequence Number13337743
Product Code GWO
UDI-Device Identifier10887587018324
UDI-Public(01)10887587018324(10)78675P2
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K123723
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,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 Number04.503.104.01C
Device Lot Number78675P2
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 05/09/2026
Supplement Date Received by Manufacturer06/17/2026
07/03/2026
Initial Report FDA Received Date06/01/2026
Supplement Report FDA Received Date06/24/2026
07/06/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/14/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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