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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Synthes GmbH MatrixNEURO; Plate, cranioplasty, preformed, alterable

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Synthes GmbH MatrixNEURO; Plate, cranioplasty, preformed, alterable Back to Search Results
Catalog Number 04.503.104.01
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/19/2026
Type of Reportable Event Malfunction
Event or Problem Description
Matrix neuro 4mm screws (04.503.104.01) broke during the procedure.4 of the screws broke and the heads sheared off.
 
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.Additional narrative: d4: udi: as the catalog/model number was not provided, the (01)gtin is not available.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
MatrixNEURO
Common Device Name
Plate, cranioplasty, preformed, alterable
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 Key50732817
Report Number8030965-2026-09148
Device Sequence Number18796704
Product Code GWO
UDI-Device Identifier10887587018324
UDI-Public(01)10887587018324
Combination Product (Y/N)N
Initial Reporter StateMN
Initial Reporter CountryUS
PMA/510(K) Number
K123723
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
Report Date (Section B) 09/11/2026
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 Number04.503.104.01
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Received by Manufacturer 08/19/2026
Initial Report FDA Received Date09/11/2026
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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