WIRE CUTTER 220MM 391.930

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 2019-01-24 for WIRE CUTTER 220MM 391.930 manufactured by Oberdorf Synthes Produktions Gmbh.

Event Text Entries

[134061245] Complainant part is not expected to be returned for manufacturer review/investigation. Occupation: reporter is a synthes employee. Part: 391. 930; lot: 5150; manufacturing site: (b)(4). Device history record (dhr) not available as device is older than fifteen (15) years. At this time the manufacturing documents for instruments had to be stored for 10 years. This was according to sop (filing and archiving of specification documents), which was in place unit august 2014. Product was not returned. Based on the information available, it has been determined that no corrective and/or preventative action is proposed. This complaint will be accounted for and monitored via post market surveillance activities. If additional information is made available, the investigation will be updated as applicable. 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


[134061246] Device report from (b)(6) reports an event as follows: it was reported that on (b)(6) 2018, the wire cutter large with cantilever was noted to have a distortion of the cutting edge. It was unknown when the issue occurred. There was no patient involvement. This report is for a wire cutter 220mm. This is report 1 of 1 for (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8030965-2019-60304
MDR Report Key8275843
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2019-01-24
Date of Report2018-11-11
Date Mfgr Received2019-01-07
Date Added to Maude2019-01-24
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 ContactKARA DITTY-BOVARD
Manufacturer Street1302 WRIGHTS LANE EAST
Manufacturer CityWEST CHESTER PA 19380
Manufacturer CountryUS
Manufacturer Postal19380
Manufacturer Phone6103142063
Manufacturer G1SYNTHES SALZBURG
Manufacturer StreetVORGARTENSTRASSE 206B
Manufacturer CityWIEN 1020
Manufacturer CountryAU
Manufacturer Postal Code1020
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameWIRE CUTTER 220MM
Generic NameCUTTER, WIRE
Product CodeHXZ
Date Received2019-01-24
Catalog Number391.930
Lot Number5150
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerOBERDORF SYNTHES PRODUKTIONS GMBH
Manufacturer AddressEIMATTSTRASSE 3 OBERDORF 4436 SZ 4436


Patients

Patient NumberTreatmentOutcomeDate
10 2019-01-24

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