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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Synthes GmbH INSRT HNDL FOR MULTILOC HUM NLING SYS; Rod, Fixation, Intramedullary And Accessories

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Synthes GmbH INSRT HNDL FOR MULTILOC HUM NLING SYS; Rod, Fixation, Intramedullary And Accessories Back to Search Results
Catalog Number 03.019.006
Medical Device Problem Code Device-Device Incompatibility (2919)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/01/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported an upper limb surgeon has said he has had the aiming arm and nail miss a couple of times now on multiloc cases.Prior to the case, yesterday, we did check it, it was all aligned but when doing the distal locking for a short nail the drill, it did hit.I suggested tightening up the connection screw, but he felt it and said it was tight.
 
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.Investigation summary: the product was not returned to depuy synthes; however, photos were provided for review.The photographs attached were reviewed, however the evidence provided was not sufficient to confirm the reported event of misalignment.Functionality and device interaction issues cannot be evaluated through photo investigation.Since the device was not returned, a dimensional inspection cannot be performed.The overall complaint was unconfirmed as the photographs attached don¿t have any evidence to draw a conclusion about the reported event.Based on the investigation findings, it has been determined that no corrective and/or preventative action is proposed.There is no indication that a design or manufacturing issue has caused the complaint condition.As part of depuy synthes quality process, all devices are manufactured, inspected, and released to approved specifications.Additional monitoring for any potential safety signals will be conducted through complaint trending and other post-market safety surveillance activities.Device history: part: 03.019.006.Lot: l193384.Manufacturing site: werk hagendorf.Supplier: n/a.Release to warehouse date: 03 feb, 2017.Expiration date: n/a.A manufacturing record evaluation was performed for the finished article lot and no non-conformances were identified.
 
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Brand Name
INSRT HNDL FOR MULTILOC HUM NLING SYS
Common Device Name
Rod, Fixation, Intramedullary And Accessories
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 Key50690254
Report Number8030965-2026-08988
Device Sequence Number5891707
Product Code HSB
UDI-Device Identifier07611819425569
Combination Product (Y/N)N
Initial Reporter CountryUK
PMA/510(K) Number
K103002
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional
Initial Reporter Occupation Physician
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 Number03.019.006
Device Lot NumberL193384
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Received by Manufacturer 08/13/2026
Initial Report FDA Received Date09/09/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured02/03/2017
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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