BENDING IRON FOR 2.7MM & 3.5MMRECONSTRUCTION PLATES 329.07

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,07 report with the FDA on 2015-03-09 for BENDING IRON FOR 2.7MM & 3.5MMRECONSTRUCTION PLATES 329.07 manufactured by Synthes Tuttlingen.

Event Text Entries

[5340393] It was reported that a small piece of a plate bender broke off during a surgical procedure. On (b)(6)2015, the patient underwent repair of a fractured right clavicle. As the surgeon attempted to bend a 2. 7 millimeter locking compression plate (lcp) with a plate bender from an lcp small fragment set, the small cylinder within the curved end of the bender broke off which made the plate fall on the floor. Surgery was delayed for 30 minutes in order to locate a different plate bender from another set. The broken device was removed easily, without additional intervention. It was reported that the surgery was successfully completed. This report is 1 of 1 for complaint (b)(4).
Patient Sequence No: 1, Text Type: D, B5


[13023969] Device was used for treatment, not diagnosis. Device instrument and is an is not implanted/explanted. The investigation could not be completed; no conclusion could be drawn, as no product was received. A review of the device history records has been requested. If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Patient Sequence No: 1, Text Type: N, H10


[19520108] Additional narrative: the device was received, the investigation could not be completed, and no conclusion could be drawn, as product is entering the complaint system. Manufacturing date: november 17th, 2003 the device history record review could not be performed as the records could not be identified due to the age of the instrument. This dhr is approx. 11 1/2 years old. 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.
Patient Sequence No: 1, Text Type: N, H10


[21816980] Device was used for treatment, not diagnosis. Additional narrative: patient age was reported as (b)(6). Product development investigation was performed for the subject device. One bending iron, for 2. 7mm and 3. 5mm reconstruction plates (part number 329. 07, lot number a7ma46) was received with the complaint category of? Broken: intraoperatively.? Further evaluation shows that the returned device is intended for use to contour 2. 7mm & 3. 5mm small fragment reconstruction locking compression plates and proper use and maintenance is addressed in the small fragment locking compression plate (lcp) system technique guide and the 3. 5mm lcp hook plate technique guide. The returned bending iron was received with the smaller pin, used to position and contour plates, broken off. This pin, approximately 4. 5mm long, was not returned. The fracture surface is located flush with the body of the device and is uniform. There are no indications of any material anomalies. The balance of the device shows wear but is otherwise in good condition. Thus, the complaint condition is confirmed but cannot be replicated since the device is already broken. Based on the pin design the device drawings were identified. A review of the current design drawing and manufactured design was performed. No drawing issues or discrepancies were noted and the design was found to be sufficient for its intended use. The design history was found to not impact the complaint condition. Therefore, the complaint condition was determined to not be the result of a design deficiency. The received condition is consistent with fatigue failure from repeatedly being subjected to high bending forces. This particular instrument is approximately 11. 5 years old. Thus, this complaint condition is most likely the result of accumulated wear over the life of the instrument and/or the method of use. The complaint condition was determined to not be the result of a design deficiency. If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9680938-2015-10027
MDR Report Key4580574
Report Source05,07
Date Received2015-03-09
Date of Report2015-02-24
Date of Event2015-02-24
Date Mfgr Received2015-04-09
Device Manufacturer Date2003-11-17
Date Added to Maude2015-03-09
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactLINDA PLEWS
Manufacturer Street1302 WRIGHTS LANE EAST
Manufacturer CityWEST CHESTER PA 19380
Manufacturer CountryUS
Manufacturer Postal19380
Manufacturer Phone6107195000
Manufacturer G1SYNTHES TUTTLINGEN
Manufacturer StreetUNTER HASSLEN 5
Manufacturer CityTUTTLINGEN 78532
Manufacturer CountryGM
Manufacturer Postal Code78532
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBENDING IRON FOR 2.7MM & 3.5MMRECONSTRUCTION PLATES
Generic NameINSTR, BENDING OR CONTOURING
Product CodeHXP
Date Received2015-03-09
Returned To Mfg2015-03-03
Catalog Number329.07
Lot NumberA7MA46
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSYNTHES TUTTLINGEN
Manufacturer AddressUNTER HASSLEN 5 TUTTLINGEN 78532 GM 78532


Patients

Patient NumberTreatmentOutcomeDate
10 2015-03-09

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