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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Synthes GmbH ExtractScr f/Tib+Fem Nails; Extractor

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Synthes GmbH ExtractScr f/Tib+Fem Nails; Extractor Back to Search Results
Catalog Number 03.010.000
Medical Device Problem Code Device-Device Incompatibility (2919)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/31/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported extraction screw and sliding guide are attached since it is not possible to release the devices.
 
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.
 
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Brand Name
ExtractScr f/Tib+Fem Nails
Common Device Name
Extractor
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
+1(908)386-3534
MDR Report Key50474358
Report Number8030965-2026-08573
Device Sequence Number10233959
Product Code HWB
UDI-Device Identifier07611819160361
UDI-Public(01)07611819160361(10)6669P16
Combination Product (Y/N)N
Initial Reporter CountryCO
PMA/510(K) Number
Exempt
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Distributor
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
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 Number03.010.000
Device Lot Number6669P16
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Received by Manufacturer 08/03/2026
Initial Report FDA Received Date08/27/2026
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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