FDA Adverse Event Malfunction Summary report: N

SCREWDRIVER BIHEX Ø3 W/T-HANDLE

MDR report key: 3327184 · Received September 5, 2013

Report

Report Number
8030965-2013-04804
Event Type
Malfunction
Date Received
September 5, 2013
Report Date
June 24, 2013
Manufacturer
SYNTHES GMBH
Product Code
HXX
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. DEVICE IS AN INSTRUMENT AND IS NOT IMPLANTED/EXPLANTED. INVESTIGATION COORDINATED BY SYNTHES EUROPE. REPORT RECEIVED INDICATES THE INVESTIGATION OF THE ALLEGED SCREWDRIVER HAS SHOWN THAT THE TIPS ARE COMPLETELY BROKEN. UNFORTUNATELY WE ARE NOT ABLE TO COMPREHEND EXACTLY AFTERWARDS THE EXACT REASON FOR THE PROBLEM THAT OCCURRED. THE COMPLAINT CONDITION IS LIKELY THE RESULT OF HIGH MECHANICAL OVERLOAD DURING APPLICATION WAS LEADING TO THE DAMAGE. THE REVIEW OF MATERIALS AND MANUFACTURING DOCUMENTS REVEALED NO DEVIATION FROM THE SPECIFICATIONS. THE FRACTURE SURFACES ARE HOMOGENEOUS, WHICH ALSO INCLUDES AN IMPECCABLE MATERIAL QUALITY. THE MANUFACTURING DOCUMENTS WERE REVIEWED AND NO COMPLAINT RELATED ISSUES WERE FOUND.

Description of Event or Problem · 1

DEVICE REPORT FROM SYNTHES EUROPE REPORTS AN EVENT IN (B)(6) AS FOLLOWS: THE TIP OF THE SCREWDRIVER IS BROKEN. THIS IS 2 OF 2 REPORTS FOR (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
440748 SCREWDRIVER BIHEX Ø3 W/T-HANDLE HXX SYNTHES GMBH 3483432

Patients

Seq Age Sex Outcome Treatment
1