PLATE BENDER FOR MIDFACE PLATES 03.503.038

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,05,07 report with the FDA on 2015-03-18 for PLATE BENDER FOR MIDFACE PLATES 03.503.038 manufactured by Synthes Usa.

Event Text Entries

[13041903] Additional narrative: investigation summary for article 310. 140 with lot no. : f-14365 ((b)(4) devices are involved) an investigation summary was performed. The investigation of the complaint articles has shown that the drill bits are broken off at the end of the flute. Also we found that the remaining flutes areas are worn out. The manufacturing review, of both articles, shows that the production procedure was according to the specifications and there were no issues that would contribute to this complaint condition. Unfortunately we are not able to determine the exact cause of the breakage. Due to the wear and tear signs, we can assume that these products were often and intensive used instruments. We do suppose that the cause of the breakage is the result of a mechanical overload situation during use. The bad condition of the device, before surgery, may also have played a contributory negligence to the breakage. The microscopic analysis of the broken surfaces shows a homogenous surface what indicates material conformity. Because of the damage, the complaint relevant dimensions cannot be checked for dimensional accuracy of the valid manufacturing specifications. Please note: blunt drill bits require more mechanical power during the application, therefore we recommend that blunt or damaged instruments need to be exchanged before surgery. We are not able to determine the exact cause of this occurrence as no detailed clinical information is available and therefore no corrective action can be defined. 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


[19507888] Device report from synthes europe reports an event in (b)(6) as follows: it was reported that a matrix mandible plate broke intraoperative during bending. A surgical delay of thirty (30) minutes was noted. This report is 2 of 2 for (b)(4).
Patient Sequence No: 1, Text Type: D, B5


[19522175] Device was used for treatment, not diagnosis. Device is an instrument and is not implanted/explanted. Investigation could not be completed and no conclusion could be drawn as no device was returned and no lot was provided. 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


[32596741] (b)(4). The subject device was not received and no evaluation was performed. The evaluation reported in medwatch follow-up #1 was for a different device and these results were reported in error. As reported in the initial medwatch report for this device, the lot number is unknown and therefore, a review of the device history records could not be performed. 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 Number2520274-2015-11913
MDR Report Key4613950
Report Source01,05,07
Date Received2015-03-18
Date of Report2015-02-27
Date of Event2015-02-25
Date Mfgr Received2015-05-04
Date Added to Maude2015-03-18
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
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 CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePLATE BENDER FOR MIDFACE PLATES
Generic NameINSTR,BENDING OR CONTOURING
Product CodeHXP
Date Received2015-03-18
Catalog Number03.503.038
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSYNTHES USA
Manufacturer Address1302 WRIGHTS LANE EAST WEST CHESTER PA 19380 US 19380


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2015-03-18

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