BONE CURETTE-ANGLED/OVAL HEAD 03.605.006

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2013-02-27 for BONE CURETTE-ANGLED/OVAL HEAD 03.605.006 manufactured by Synthes.

Event Text Entries

[3314153] (b)(4). The surgeon picked up the curette and noticed the tip was sheared off. Was not used during surgery. How the instrument broke is unknown. No patient harm was reported.
Patient Sequence No: 1, Text Type: D, B5


[10547663] Synthes is submitting this report as a result of remediation activities related to fda warning letter dated (b)(4) 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. Manufacturing investigation: device history record review - the manufacturing records were reviewed and no complaint related issues were found. Product investigation: the device was returned and the visual inspection of the returned device confirmed the tip was badly deformed. Specification investigation corresponds to doc/drawings and processes at the time of manufacture. Investigation conclusion: too much force was applied to the tip of the instrument causing it to bend and chip. Complaint invalid.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number8030965-2013-10062
MDR Report Key3015061
Report Source05,06
Date Received2013-02-27
Date of Report2010-12-30
Date of Event2010-12-30
Date Mfgr Received2013-01-28
Device Manufacturer Date2009-05-01
Date Added to Maude2013-05-07
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 ContactT. MCCARRON
Manufacturer Street1302 WRIGHTS LANE EAST
Manufacturer CityWEST CHESTER PA 19380
Manufacturer CountryUS
Manufacturer Postal19380
Manufacturer Phone8006207025
Manufacturer G1SYNTHES
Manufacturer StreetUNTER HASSLEN 5
Manufacturer CityTUTTLINGEN D-78532
Manufacturer CountryGM
Manufacturer Postal CodeD-78532
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameBONE CURETTE-ANGLED/OVAL HEAD
Generic NameINSTRUMENTS
Product CodeHTF
Date Received2013-02-27
Returned To Mfg2011-01-19
Catalog Number03.605.006
Lot NumberT935954
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSYNTHES
Manufacturer AddressTUTTLINGEN GM


Patients

Patient NumberTreatmentOutcomeDate
10 2013-02-27

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