SLIDING CARRIAGE 394.43

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 2018-09-04 for SLIDING CARRIAGE 394.43 manufactured by Wrights Lane Synthes Usa Products Llc.

Event Text Entries

[119039097] No patient involvement reported. Date of event is unknown. Device is an instrument and is not implanted / explanted. Product development investigation was completed. Visual inspection of the returned device performed at customer quality (cq) confirmed the condition of two devices being stuck together, which agrees with the reported complaint condition. The two devices were unable to be separated at cq. Therefore, the reported complaint condition is confirmed and was able to be replicated at cq. Relevant drawings were reviewed during this investigation. Based on the etchings on the device, it can be determined that it was made prior to the oldest available drawings for this part in synthes systems. Based on the etchings on the returned device, it can be determined that it was made prior to may 21, 1999. Therefore, it is over 19 years old. No product design issues or discrepancies were observed. Device history records review could not be completed as device was manufactured before 1998. A relevant dimensional inspection could not be performed at cq because the features of interest are not accessible as the two devices were returned stuck together. A definitive root cause for the devices becoming stuck together could not be determined based on the provided information. The most likely cause is over tightening leading to a cross threading situation. This complaint is confirmed however no product design issues or manufacturing discrepancies that would contribute to the reported complaint condition were identified during this investigation. No new, unique or different patient harms were identified as a result of this evaluation. Based on the investigation findings, it has been determined that no corrective and/or preventative action is proposed. 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


[119039098] (b)(6) reports following: it was reported that during sterile processing department (spd) inspection on an unknown date, the sliding carriage was noted to be cross threaded and seized on two (2) holding sleeves and a schanz screw blunted trocar. There was no patient involvement. During manufacturing investigation, the condition of two devices being stuck together was confirmed, which agrees with the reported complaint condition. This report is for one (1) sliding carriage. This is report 2 of 2 for (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2939274-2018-53574
MDR Report Key7841673
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2018-09-04
Date of Report2018-06-18
Date Mfgr Received2018-09-18
Date Added to Maude2018-09-04
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 FDA3
Event Location3
Manufacturer ContactMICHAEL COTE
Manufacturer Street1302 WRIGHT LANE EAST
Manufacturer CityWEST CHESTER PA 19380
Manufacturer CountryUS
Manufacturer Postal19380
Manufacturer Phone6107195000
Manufacturer G1WERK BETTLACH (CH)
Manufacturer StreetMURACHERSTRASSE 3
Manufacturer CityBETTLACH 2544
Manufacturer CountrySZ
Manufacturer Postal Code2544
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSLIDING CARRIAGE
Generic NameTRACTION,APPARATUS,NON-POWERED
Product CodeHST
Date Received2018-09-04
Returned To Mfg2018-07-10
Catalog Number394.43
Lot Number2019.2
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerWRIGHTS LANE SYNTHES USA PRODUCTS LLC
Manufacturer Address1302 WRIGHTS LANE EAST WEST CHESTER PA 19380 US 19380


Patients

Patient NumberTreatmentOutcomeDate
10 2018-09-04

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