FDA Adverse Event Malfunction Summary report: N

RETROGR FEM NAIL ADV - RFN-ADV Ø10 L 400

MDR report key: 23267327 · Received October 10, 2025

Report

Report Number
8030965-2025-10320
Event Type
Malfunction
Date Received
October 10, 2025
Date of Event
September 21, 2025
Manufacturer
SYNTHES GMBH
Product Code
HSB
PMA / PMN Number
K233696
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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. H11 ADDITIONAL NARRATIVE: H3, H6: PRODUCT WAS NOT RETURNED. BASED ON THE INFORMATION AVAILABLE, IT HAS BEEN DETERMINED THAT NO CORRECTIVE AND 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. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

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: UDI: AS THE LOT NUMBER FOR THE DEVICE INVOLVED IN THE EVENT WAS NOT PROVIDED, THE FULL UDI IS CURRENTLY NOT AVAILABLE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE CUSTOMER STATES THAT DEVICE IS NOT ABLE TO BE REMOVED TO BE REPLACED WITH PEEK INLAY. THE CUSTOMER ATTEMPTED TO REMOVE THE DEVICE INLAY AND THE INLAY WOULD RIP AND COME OUT IN PIECES. THE CUSTOMER OPTED TO OPEN ANOTHER IMPLANT. THE NEW IMPLANT INLAY WAS SUCCESSFULLY REMOVED EASILY. NEW IMPLANT WAS OPENED AND ORIGINAL IMPLANT WAS DISCARDED OFF OF THE SURGICAL FIELD. THE PROCEDURE WAS SUCCESSFULLY COMPLETED WITH 10 MIN OF SURGICAL DELAY. THERE WAS NO ADVERSE EVENT ASSOCIATED WITH PATIENT CARE. NO OTHER MEDICAL INTERVENTION REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
312178 RETROGR FEM NAIL ADV - RFN-ADV Ø10 L 400 ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES HSB SYNTHES GMBH

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown