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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Synthes GmbH SCRDRIVER SFT/RETAINING QC HEX 12/ XL25; Screwdriver

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Synthes GmbH SCRDRIVER SFT/RETAINING QC HEX 12/ XL25; Screwdriver Back to Search Results
Catalog Number 03.045.005
Medical Device Problem Codes Device-Device Incompatibility (2919); Material Twisted/Bent (2981)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/31/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the screwdriver was being used to put in a distal screw in the tfna in the patient.The bone was very hard.Screwdriver and retention pin twisted and will not come apart.Patient was not harmed.
 
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 lot number for the device involved in the event was not provided, the full udi is currently 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
SCRDRIVER SFT/RETAINING QC HEX 12/ XL25
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 wrights lane east
west chester, PA 19380
+1(908)386-3534
MDR Report Key50857101
Report Number8030965-2026-09639
Device Sequence Number10053213
Product Code HXX
UDI-Device Identifier10886982292520
Combination Product (Y/N)N
Initial Reporter StateTX
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
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 Number03.045.005
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Received by Manufacturer 09/01/2026
Initial Report FDA Received Date09/22/2026
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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