MAUDE Adverse Event Report: WRIGHTS LANE SYNTHES USA PRODUCTS LLC REDUCTION WIRE/1.8MM DIAMETER 400MM LONG; APPLIANCE,FIXATION,NAIL

Model Number	03.311.042
Medical Device Problem Code	Material Deformation (2976)
Health Effect - Clinical Code	No Patient Involvement (2645)
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Occupation: initial reporter is synthes sales representative.The device was received, the investigation is in progress, no conclusion could be drawn at the time of filing this report.Device was used for treatment, not diagnosis.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Event or Problem Description
It was reported that on an unknown date, a total of sixteen (16) reduction wires were discovered as bent.This occurred after opening the devices.There was no patient involvement.This report is for one (1) reduction wire/1.8mm diameter 400mm long.This is report 9 of 10 for (b)(4).Due to a limit of impacted products per complaint, this complaint is a continuation from complaint (b)(4).
Additional Manufacturer Narrative
Depuy synthes is submitting this report pursuant to the provisions of 21 cfr, part 803.This report may be based on information which depuy synthes has not been able to investigate or verify prior to the required reporting date.This report does not reflect a conclusion by fda, depuy synthes or its employees that the report constitutes an admission that the device, depuy synthes, or its employees caused or contributed to the potential event described in this report.Investigation summary complaint description it was reported that on (b)(6) 2019, the two (2) reduction wire-long & four (4)reduction wire-half point tip were observed bent when opening the package.The devices never made it to the account.There was no patient involvement.This complaint involves six (6) devices.The device was forwarded to the manufacture for investigation.The following investigation contains results from the manufacturing investigation (reference this product investigation's (pi) "manufacturing investigation" action and "signed memo" attachment).Us customer quality (cq) returned product investigation flow: damage dimensional inspection cq's dimensional inspection revealed all returned devices associated with this complaint measured are within specification.The returned devices passed manufacturing inspection per the returned device passed inspection.Manufacturing record evaluation the device's manufacturing records (dhr) were reviewed.This lot met all dimensional, visual and packaging criteria at the time of release with no issues documented during the inspection or release of the product that would contribute to this complaint condition the returned devices passed manufacturing inspection per the returned device per inspection sheet 03if311043 rev e, which called out the use of gt-15887-2, using gage id h5374 and passed inspection.Manufacturing record evaluation the device's manufacturing records (dhr) were reviewed.This lot met all dimensional, visual and packaging criteria at the time of release with no issues documented during the inspection or release of the product that would contribute to this complaint condition.Document/specification review drawing 03_311_042 rev.D was reviewed during investigation.No design issues were noted.Conclusion the complaint was confirmed with investigation.There were no issues during the manufacture of this product that would contribute to this complaint condition.During the investigation, no product design issues or discrepancies were observed that may have contributed to the complaint condition.A root cause could not be determined during investigation; however, it is likely that the damage occurred during shipment and handling.This condition is adequately addressed by the device's production risk documentation.Additional monitoring for any potential safety signals will be conducted through complaint trending and other post market safety surveillance activities.Therefore, it has been determined that no corrective and/or preventive action is proposed.H3, h4, h6: a review of the device history record.Manufacturing location: supplier-orchid unique / inspected, packaged and released by: monument release to warehouse dates: 26-mar-2018 and 10-apr-2018 part number: 03.311.042, reduction wire/1.8mm diameter 400mm long lot number: u292328 (non-sterile) lot quantity: (b)(4) total (quantity (b)(4) 26-mar-2018 and (b)(4) 10-apr-2018) work order travelers met all inspection acceptance criteria.Certificates of conformance supplied by (b)(4) dated 31-jan-2018 were reviewed and determined to be conforming.Inspection sheets, incoming final inspection 03if311042 rev f met all inspection acceptance criteria.Packaging label logs (pll) lppf rev c, lmd rev ae were reviewed and determined to be conforming.This lot met all dimensional, visual and packaging criteria at the time of release with no issues documented during the inspection or release of the product that would contribute to this complaint condition.Device history batch null, device history review this lot met all dimensional, visual and packaging criteria at the time of release with no issues documented during the inspection or release of the product that would contribute to this complaint condition.Device was used for treatment, not diagnosis.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.

• Brand Name: REDUCTION WIRE/1.8MM DIAMETER 400MM LONG
• Common Device Name: APPLIANCE,FIXATION,NAIL
• Manufacturer (Section D): WRIGHTS LANE SYNTHES USA PRODUCTS LLC; 1302 wrights lane east; west chester PA 19380
• MDR Report Key: 8556168
• Report Number: 2939274-2019-57693
• Device Sequence Number: 13951410
• Product Code: KTT
• UDI-Device Identifier: 10886982078032
• UDI-Public: (01)10886982078032
• Combination Product (Y/N): N
• Initial Reporter State: CO
• Initial Reporter Country: US
• PMA/510(K) Number: K161417
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: company representative
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 04/01/2019

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 Model Number: 03.311.042
• Device Catalogue Number: 03.311.042
• Device Lot Number: U292328
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 04/11/2019
• Initial Date Received by Manufacturer: 04/01/2019
• Supplement Date Received by Manufacturer: 07/26/2019
• Initial Report FDA Received Date: 04/26/2019
• Supplement Report FDA Received Date: 08/22/2019
• Patient Sequence Number: 1