FDA Adverse Event Malfunction Summary report: N

DRILL BIT Ø1 L46/34 2FLUTE

MDR report key: 22318987 · Received June 24, 2025

Report

Report Number
8030965-2025-06300
Event Type
Malfunction
Date Received
June 24, 2025
Date of Event
May 30, 2025
Manufacturer
SYNTHES GMBH
Product Code
HTW
UDI-DI
07611819080997
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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 REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE. H11 ADDITIONAL MANUFACTURER NARRATIVE: D4/G4: DEVICE IS NOT DISTRIBUTED IN THE UNITED STATES, BUT IS SIMILAR TO DEVICE MARKETED IN THE USA. THEREFORE, (01) GTIN IS NOT AVAILABLE. H3, H6: PRODUCT CODE: 513.005. LOT NUMBER: 345154. RELEASE TO WAREHOUSE DATE: 26.SEP.2022. EXPIRATION DATE: NA. SUPPLIER: HIPP MEDICAL AG. MANUFACTURING SITE: WERK SELZACH. A MANUFACTURING RECORD EVALUATION WAS PERFORMED FOR THE FINISHED ARTICLE LOT AND NO NON-CONFORMANCES WERE IDENTIFIED. THE PRODUCT WAS NOT RETURNED TO MEDTECH ORTHOPAEDICS, HOWEVER PHOTOS WERE PROVIDED FOR REVIEW. THE PHOTO INVESTIGATION REVEALED THAT '513.005, DRILL BIT Ø1 L46/34 2FLUTE¿ HAD BROKEN. THE OBSERVED CONDITION OF THE DEVICE WAS CONSISTENT WITH A RANDOM COMPONENT FAILURE THAT MAY HAVE BEEN CAUSED BY EXPOSURE TO UNINTENDED FORCES. SINCE THE DEVICE WAS NOT RETURNED, A DIMENSIONAL INSPECTION CANNOT BE PERFORMED. THE OVERALL COMPLAINT WAS CONFIRMED AS THE OBSERVED CONDITION OF THE DRILL BIT Ø1 L46/34 2FLUTE WOULD CONTRIBUTE TO THE COMPLAINED DEVICE ISSUE. BASED ON THE INVESTIGATION FINDINGS, POTENTIAL CAUSE CAN BE ATTRIBUTED TO COMPONENT FAILURE AND 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 MEDTECH ORTHOPAEDICS 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.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING SURGERY, THE MOMENT THE DOCTOR WANTS TO PLACE A CORTICAL SCREW, WHEN PERFORMING THE BROCADE, THE BIT IS BROKEN. THIS PROBLEM IS SOLVED BY REMOVING THE BIT TOGETHER WITH ITS FRAGMENTS AND PASSING ANOTHER BIT OF THE SAME DIAMETER AND OF THE SAME CHARACTERISTICS THAT ALSO COMES WITHIN THE EQUIPMENT, ACHIEVING WITH THIS TO COMPLETE THE SURGERY SUCCESSFULLY. DUE TO THIS NOVELTY, THERE WERE NO DISCOMFORT ON THE PART OF THE SPECIALIST, THERE WERE NO AFFECTIONS TO THE PATIENT AND THERE WERE NO ALTERATIONS IN THE SURGICAL TIMES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2063813 DRILL BIT Ø1 L46/34 2FLUTE DRILL BIT HTW SYNTHES GMBH 345154 07611819080997

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown