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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Synthes GmbH REDUCTN FORCEPS/ NRW LONG RATCH 131MM

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Synthes GmbH REDUCTN FORCEPS/ NRW LONG RATCH 131MM Back to Search Results
Catalog Number 03.430.017
Medical Device Problem Codes Break (1069); Crack (1135); Device-Device Incompatibility (2919)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that on an unknown date, products were unable to sterilized and assembled.Devices were chipping and cracking and not usable.
 
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
REDUCTN FORCEPS/ NRW LONG RATCH 131MM
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 78532
GM   78532
Manufacturer Contact
elba bello
1302 wright lane east
west chester, PA 19380
+1(908)386-3534
MDR Report Key50408165
Report Number8030965-2026-08379
Device Sequence Number9200691
Product Code HTD
UDI-Device Identifier10886982336187
UDI-Public(01)10886982336187
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Other Health Care Professional
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 Number03.430.017
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Received by Manufacturer Not provided
Supplement Date Received by Manufacturer09/09/2026
Initial Report FDA Received Date08/24/2026
Supplement Report FDA Received Date09/10/2026
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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