FDA Adverse Event Malfunction Summary report: N

DRILL BIT Ø17 CANN F/PFNA

MDR report key: 3192656 · Received June 27, 2013

Report

Report Number
2520274-2013-03838
Event Type
Malfunction
Date Received
June 27, 2013
Report Date
June 23, 2011
Manufacturer
SYNTHES USA
Product Code
HTW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SYNTHES IS SUBMITTING THIS REPORT AS A RESULT OF REMEDIATION ACTIVITIES RELATED TO FDA WARNING LETTER DATED FEBRUARY 2012. DEVICE(S) LISTED IN THIS REPORT IS (ARE) USED FOR TREATMENT, NOT DIAGNOSIS. ANY ADDITIONAL INFORMATION RECEIVED REGARDING THIS EVENT AFTER FILING THIS REPORT SHALL BE FILED ON A SUPPLEMENTAL MDR. (B)(6). DEVICE IS NOT DISTRIBUTED IN THE UNITED STATES, BUT IS SIMILAR TO DEVICE MARKETED IN THE USA. WITHOUT A LOT NUMBER THE DEVICE HISTORY RECORDS REVIEW COULD NOT BE COMPLETED. THE ADDITIONAL EVALUATION VISUAL INSPECTION REVEALED THAT THE FRACTURE FACE IS HOMOGENOUS WHICH INDICATES MATERIAL CONFORMITY. NO PRODUCT FAULT COULD BE DETECTED. WE FOUND THAT THE CUTTING EDGES OF THESE DEVICES ARE DAMAGED AND PARTIALLY BLUNT.

Additional Manufacturer Narrative · 1

SYNTHES IS SUBMITTING THIS REPORT AS A RESULT OF REMEDIATION ACTIVITIES RELATED TO FDA WARNING LETTER DATED FEBRUARY 2012. DEVICE(S) LISTED IN THIS REPORT IS (ARE) USED FOR TREATMENT, NOT DIAGNOSIS. ANY ADDITIONAL INFORMATION RECEIVED REGARDING THIS EVENT AFTER FILING THIS REPORT SHALL BE FILED ON A SUPPLEMENTAL MDR. (B)(4): DEVICE HISTORY RECORD PERFORMED. THE EXAMINATION OF THE MANUFACTURING PAPERS SHOWED NO DEVIATIONS REGARDING MATERIAL ANALYSIS, STRENGTH AND STRUCTURAL STABILITY.

Description of Event or Problem · 1

IT WAS REPORTED THAT ONE OF THE DRILL BITS WAS PURCHASED AND THE END BROKE OFF. THIS IS REPORT 2 OF 2 FOR (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
294175 DRILL BIT Ø17 CANN F/PFNA HTW SYNTHES USA SX406901

Patients

Seq Age Sex Outcome Treatment
1