COMPR WIRE 1.6 L150/25 03.211.425.01S

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,07 report with the FDA on 2012-08-28 for COMPR WIRE 1.6 L150/25 03.211.425.01S manufactured by Synthes Gmbh.

Event Text Entries

[16325605] No product fault could be detected. We found that the wire is broken at the threaded part about 4mm below the ball. The thread flanks at the broken fragment are badly damaged, but afterwards it can not be defined if this damage was caused during the insertion or during the extraction of the fragment. The exact cause of this occurrence can not be defined. Based on the appearance of the fracture face and the stress marks at the wire above the ball we can only assume that a mechanical overload caused this breakage. The manufacturing documents were reviewed and no complaint related issues were found.
Patient Sequence No: 1, Text Type: N, H10


[17561407] Patient was undergoing a procedure on the 3rd metatarsal. The surgeon used a compression wire per the surgical technical perpendicular to a 3 hold plate. He drilled through the first cortex and as it penetrated the second cortex to apply compression the wire broke at the junction below the olive. The surgeon had to split the metatarsal to remove the wire as it was protruding too much through the second cortex to leave it in. The procedure was extended about 45 minutes and was completed successfully.
Patient Sequence No: 1, Text Type: D, B5


[17670540] Investigation is ongoing. Device has been received and is currently in the evaluation. No conclusion can be drawn.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number8030965-2012-00700
MDR Report Key2722202
Report Source01,07
Date Received2012-08-28
Date of Report2012-08-02
Date of Event2012-08-01
Date Mfgr Received2012-10-03
Date Added to Maude2012-09-04
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 ContactJODI TEMPLE
Manufacturer Street1302 WRIGHTS LANE EAST
Manufacturer CityWEST CHESTER PA 19380
Manufacturer CountryUS
Manufacturer Postal19380
Manufacturer Phone8006207025
Manufacturer G1SYNTHES GMBH
Manufacturer StreetEIMATTSTRASSE 3
Manufacturer CityOBERDORF CH-4436
Manufacturer CountrySZ
Manufacturer Postal CodeCH-4436
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCOMPR WIRE 1.6 L150/25
Generic NameCOMPR WIRE 16. L150/25
Product CodeHXS
Date Received2012-08-28
Returned To Mfg2012-08-21
Catalog Number03.211.425.01S
Lot Number3681401
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSYNTHES GMBH
Manufacturer AddressOBERDORF CH-4436 CH-4436


Patients

Patient NumberTreatmentOutcomeDate
10 2012-08-28

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