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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Synthes GmbH ScrDriver Shaft 3.5 T15 self-holding f/A; Screwdriver

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Synthes GmbH ScrDriver Shaft 3.5 T15 self-holding f/A; Screwdriver Back to Search Results
Catalog Number 314.116
Medical Device Problem Code Material Twisted/Bent (2981)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/01/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported there was wear and tear on screwdrivers and stripped threads on va condylar aiming arm.No patient consequences.
 
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.D4: udi: as the lot number for the device involved in the event was not provided, the full udi is currently not available.
 
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Brand Name
ScrDriver Shaft 3.5 T15 self-holding f/A
Common Device Name
Screwdriver
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
+1(908)386-3534
MDR Report Key50233532
Report Number8030965-2026-08110
Device Sequence Number10336251
Product Code HXX
UDI-Device Identifier10886982188540
UDI-Public(01)10886982188540
Combination Product (Y/N)N
Initial Reporter StateAL
Initial Reporter CountryUS
PMA/510(K) Number
Exempt
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician
Type of Report Initial,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 Number314.116
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Received by Manufacturer 07/21/2026
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date08/13/2026
Supplement Report FDA Received Date09/03/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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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