WIRE-BENDING PLIERS 160MM 391.82

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2017-04-27 for WIRE-BENDING PLIERS 160MM 391.82 manufactured by Synthes Tuttlingen.

Event Text Entries

[73906786] Device was used for treatment, not diagnosis. Additional narrative: while performing the investigation, it was found that the device was broken. Device is an instrument and is not implanted/explanted. (b)(6). A device history record review was performed for the subject device lot. Manufacturing date: 08-mar-2010. Review of the device history record of (b)(4) showed that there were no issues at the time of manufacturing of this device that would contribute to the issue outlined in this complaint. A review of inspection records and certifications, confirm that the components and final product met inspection records. All (b)(4) parts of the lot were checked 100% for important features and for function at the final inspection on 05-mar-2010. No nonconformances were generated during production. A product development investigation was performed for the subject device. The 391. 82 lot number t942912 wire-bending pliers was returned and reported to have a sharp edge. This complaint condition was likely caused by over seven years of consistent use and possible rough handling during surgery or sterile processing; however, this complaint is not likely a result of any design or manufacturing related deficiency. A visual inspection and drawing review were performed as part of this investigation. This complaint is confirmed. The cutting edge of the device was determined to be broken leaving a sharp edge. The 391. 82 wire-bending pliers are an instrument routinely used in the small fragment locking compression (lcp) system (technique guide). The device was returned and reported to have a sharp edge. This condition is confirmed; the carbide insert of the cutting edge is broken and missing a fragment leaving a sharp edge behind. The fragment was not returned. The device was manufactured in 3/2010 and is over seven years old. The balance of the returned device is in otherwise fair condition with some superficial wear. Drawing was reviewed and determined to be suitable for the intended design, application and dimensional conformity when used as recommended. The condition of the returned device does agree with the complaint description. Whether the complaint condition for this device can be replicated is not applicable for this condition. All measurements have been performed by calipers. During the investigation no product design issues or discrepancies were observed that may have contributed to the complaint condition. 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


[73906787] (b)(4) reported that a pair of wire bending pliers were noted by instrument room staff to have a sharp edge on the device. It is unknown if the device was used in or impacted a surgical procedure prior to the malfunction being noted. There were no adverse events reported due to the use of this device. There is no additional information available. This is report number 1 of 1 for complaint (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9680938-2017-10071
MDR Report Key6527146
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2017-04-27
Date of Report2017-03-10
Date of Event2017-03-10
Date Mfgr Received2017-04-25
Device Manufacturer Date2010-03-08
Date Added to Maude2017-04-27
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 ContactMICHAEL COTE
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 NameWIRE-BENDING PLIERS 160MM
Generic NamePLIERS,SURGICAL
Product CodeHTC
Date Received2017-04-27
Returned To Mfg2017-04-19
Catalog Number391.82
Lot NumberT942912
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
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 2017-04-27

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