• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: OBERDORF SYNTHES PRODUKTIONS GMBH 3.0MM/3.0MM CONNECTING CLAMP; APPLIANCE, FIXATION, NAIL/BLADE/PLATE COMBINATION, MULTIPLE COMPONENT

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

OBERDORF SYNTHES PRODUKTIONS GMBH 3.0MM/3.0MM CONNECTING CLAMP; APPLIANCE, FIXATION, NAIL/BLADE/PLATE COMBINATION, MULTIPLE COMPONENT Back to Search Results
Catalog Number 395.133
Device Problems Device-Device Incompatibility (2919); Unintended Movement (3026)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Type  malfunction  
Manufacturer Narrative
Initial reporter is synthes sales representative.Without a lot number the device history records review could not be completed.Product was not returned.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 Description
Device report from synthes reports an event in (b)(6) as follows: it was reported that on an unknown date, while performing a review of the falange minifixer system, it was evident that the system bars did not enter the patella properly.The system is blocked for operation due to incomplete key pieces.No further information provided.Concomitant devices reported: 3.0mm/3.0mm connecting clamp (part# 395.133, lot# unknown, quantity# 2), holding clamp 1.25mm (part# 395.125, lot# unknown, quantity# 2), holding clamp 1.6mm (part# 395.126, lot# unknown, quantity# 1).This is report 1 of 5 for (b)(4).
 
Event Description
Concomitant devices reported: 3.0mm/3.0mm connecting clamp (part 395.133, lot l594154, l234175, l344165, l234175, 8577693, quantity 5), holding clamp 1.25mm (part 395.125, lot l639570, l671743 (x2), l716619, 1358912, l805743, quantity 6), holding clamp 1.6mm (part 395.126, lot 1362940 (x2), l082894, l1362940, l858755, l797231 (x2), quantity 7).This is report 1 of 10 for (b)(4).Additional devices for this event are captured on related complaints (b)(4).
 
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.D10: complainant part is not expected to be returned for manufacturer review/investigation.H3, h6: the investigation could not be completed; no conclusion could be drawn, as no product was received.Based on the information available, it has been determined that no corrective and/or preventative action is proposed.This complaint will be accounted for and monitored via post market surveillance activities.If additional information is made available, the investigation will be updated as applicable.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.
 
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.If the information is unknown, not available or does not apply, the section/field of the form is left blank.H3, h6: part: 395.133.Lot: l234175.Manufacturing site: hägendorf.Release to warehouse date: 23.Feb.2017.A manufacturing record evaluation was performed for the finished device lot number, and no non-conformances were identified.Visual inspection: connec-clamp ø3 f/mini-ext-fix (part# 395.133, lot# l234175, qty# 1) was returned and received at us customer quality (cq).Upon visual inspection at cq, it is observed that the device looks good without any damage.Functional testing: functional testing of the device received was not performed at cq as the mating devices were not returned at cq.Can the complaint be replicated with the returned device(s)? unable to perform dimensional inspection: a dimensional inspection was not performed at cq due to the geometry of the device and no visual defects were evident with the device returned.Document/specification review: the following drawings were reviewed during the investigation: connect clamp.No design issues or discrepancies were noticed.Complaint confirmed? no.Investigation conclusion: the complaint condition cannot be confirmed for the connec-clamp ø3 f/mini-ext-fix (part# 395.133, lot# l234175).A definitive root cause for the reported problem cannot be determined.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.Based upon these results, no corrective and/or preventative action is proposed.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.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.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.If the information is unknown, not available or does not apply, the section/field of the form is left blank.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.
 
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.H10 additional narrative: updated data: d4, h4.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.Corrected data: d9, h3, h6.
 
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.H3, h4, h6: connec-clamp ø3 f/mini-ext-fix (part# 395.133, lot# l234175, qty# (b)(4) ) was returned and received at us cq.Upon visual inspection at cq, it is observed that the device looks good without any damage.The complaint condition cannot be confirmed for the connec-clamp ø3 f/mini-ext-fix (part# 395.133, lot# l234175).A definitive root cause for the reported problem cannot be determined.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.Based upon these results, no corrective and/or preventative action is proposed.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.Device history lot : part: 395.133, lot: l234175, manufacturing site: hägendorf, release to warehouse date: 23.Feb.2017.A manufacturing record evaluation was performed for the finished device lot number, and no non-conformances were identified.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.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
3.0MM/3.0MM CONNECTING CLAMP
Type of Device
APPLIANCE, FIXATION, NAIL/BLADE/PLATE COMBINATION, MULTIPLE COMPONENT
Manufacturer (Section D)
OBERDORF SYNTHES PRODUKTIONS GMBH
eimattstrasse 3
oberdorf 4436
SZ  4436
MDR Report Key9860298
MDR Text Key191562444
Report Number8030965-2020-02133
Device Sequence Number1
Product Code KTT
UDI-Device Identifier07611819201484
UDI-Public(01)07611819201484
Combination Product (y/n)N
PMA/PMN Number
K971987
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup,Followup,Followup,Followup
Report Date 02/21/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/20/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number395.133
Device Lot NumberL234175
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/15/2020
Date Manufacturer Received01/19/2021
Patient Sequence Number1
Treatment
CONNEC-CLAMP Ø3 F/MINI-EXT-FIX; CONNEC-CLAMP Ø3 F/MINI-EXT-FIX; CONNEC-CLAMP Ø3 F/MINI-EXT-FIX; HOLDING CLAMP Ø1.25 F/MINI-EXT-FIX; HOLDING CLAMP Ø1.25 F/MINI-EXT-FIX; HOLDING CLAMP Ø1.25 F/MINI-EXT-FIX; HOLDING CLAMP Ø1.25 F/MINI-EXT-FIX; HOLDING CLAMP Ø1.25 F/MINI-EXT-FIX; HOLDING CLAMP Ø1.25 F/MINI-EXT-FIX; HOLDING CLAMP Ø1.25 F/MINI-EXT-FIX; HOLDING CLAMP Ø1.25 F/MINI-EXT-FIX; HOLDING CLAMP Ø1.25 F/MINI-EXT-FIX; HOLDING CLAMP Ø1.25 F/MINI-EXT-FIX
-
-