UNIVERSAL BENDING IRON 329.031

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-03-30 for UNIVERSAL BENDING IRON 329.031 manufactured by Synthes Brandywine.

Event Text Entries

[41764483] Patient information not available for reporting, device is an instrument and is not implanted/explanted. Service and repair evaluation - the customer reported the handle broke. The repair technician reported handle cracked/broken as the reason for repair. The item is not repairable per the inspection sheet. The cause of the issue is unknown. The item will be forwarded to customer quality. The evaluation was confirmed. 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


[41764484] It was reported by service and repair that a handle broke during a right mandible fracture surgery. Patient is doing well and there was no delay in surgery. This complaint involves 1 device.
Patient Sequence No: 1, Text Type: D, B5


[42799355] Device was used for treatment, not diagnosis. A service history record review was attempted for the subject device; however, it could not be completed because the device is a lot/batch controlled item. A device history record (dhr) review was performed for the subject device lot. The review showed that there were no issues during the manufacture of the product that would contribute to this complaint condition. No non-conformances were generated during the production of the subject device. The subject device is currently in the evaluation process at synthes customer quality the results of this evaluation are pending completion. Manufacturing location was corrected based on dhr results. 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


[44587101] Product investigation summary: the returned device was sent for service and repair where the complaint condition was able to be confirmed as the handle was found to be broken. The device was deemed unrepairable and forwarded to customer quality for investigation. The distal most quarter of the handle was split longitudinally and broken off of the remaining handle. The device was checked for functionality and was found to operate as intended. The returned condition is consistent with extensive wear and repeated sterilization of the device over an extended lifetime. The handle material is phenolic le grade, which is susceptible to becoming brittle after being subjected to years of thermal cycling, which routinely occurs during sterilization cycles. The device is 10+ years old; therefore, the device age is likely a contributing factor. The universal bending iron is not noted in a system technique guide; however, it is covered on a product information sheet. The bending iron is designed to bend 2. 4mm microvascular, universal fracture, locking reconstruction, and thorp plates in three dimensions: in-plane, out-of-plane and torsional. The relevant drawings for the returned instrument were reviewed (both from the time of manufacture and present revision): top-level and handle. The design, materials, and finishing processes were found to be appropriate for the intended use of these devices. No definitive root cause was able to be determined; the returned condition is consistent with extensive wear and repeated sterilization of the device over an extended lifetime. During the investigation, no product design issues or discrepancies were observed that may have contributed to the complaint condition. Device 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


MAUDE Entry Details

Report Number1719045-2016-10277
MDR Report Key5536429
Date Received2016-03-30
Date of Report2016-03-16
Date Mfgr Received2016-05-04
Device Manufacturer Date2006-01-30
Date Added to Maude2016-03-30
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactLINDA PLEWS
Manufacturer Street1302 WRIGHTS LANE EAST
Manufacturer CityWEST CHESTER PA 19380
Manufacturer CountryUS
Manufacturer Postal19380
Manufacturer Phone6107195000
Manufacturer G1SYNTHES BRANDYWINE
Manufacturer Street1303 GOSHEN PARKWAY
Manufacturer CityWEST CHESTER PA 19380
Manufacturer CountryUS
Manufacturer Postal Code19380
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNIVERSAL BENDING IRON
Generic NameINSTR,BENDING OR CONTOURING
Product CodeHXP
Date Received2016-03-30
Returned To Mfg2016-03-22
Catalog Number329.031
Lot Number5161556
ID Number(01)10887587039169(10)5161556
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSYNTHES BRANDYWINE
Manufacturer Address1303 GOSHEN PARKWAY WEST CHESTER PA 19380 US 19380


Patients

Patient NumberTreatmentOutcomeDate
10 2016-03-30

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