| Brand Name | KINCISE |
| Common Device Name | INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT |
| Manufacturer (Section D) |
| SYNTHES GMBH |
| eimattstrasse 3 |
| oberdorf 4436 |
| SZ 4436 |
|
| Manufacturer (Section G) |
| TECHTRONIC INDUSTRIES MEDICAL |
| 1428 pearman dairy rd |
|
| anderson SC 29625 |
|
| Manufacturer Contact |
|
elba
bello
|
| eimattstrasse 3 |
| oberdorf 04436
|
|
SZ
04436
|
|
9083863534
|
|
| MDR Report Key | 25764876 |
| Report Number | 8030965-2026-06983 |
| Device Sequence Number | 18576985 |
| Product Code |
HWE
|
| UDI-Device Identifier | 07612334268600 |
| Combination Product (Y/N) | N |
| 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) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,User Facility |
| 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 Number | 200002003 |
| Device Lot Number | NW364433 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 08/03/2026 |
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/29/2026 |
| Supplement Date Received by Manufacturer | 08/03/2026 09/14/2026
|
| Initial Report FDA Received Date | 07/09/2026 |
| Supplement Report FDA Received Date | 08/04/2026 09/15/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 02/28/2026 |
| 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 |
|
|