ROD CUTTER 388.720

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 2019-04-23 for ROD CUTTER 388.720 manufactured by Oberdorf Synthes Produktions Gmbh.

Event Text Entries

[142779097] Complainant part is not expected to be returned for manufacturer review/investigation. (b)(4). Without a lot number the device history records review could not be completed. 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


[142779098] Device report from synthes reports an event in argentina as follows: it was reported that a patient underwent surgery on (b)(6) 2019 to correct scoliosis. During the surgery, the front grips of the bolt cutter were extremely worn and open so that it was impossible to perform the gripping maneuvers. The cut bar was in bad condition and was not suitable for cutting cobalt chrome bars. There was bending of the cutting edge of the bars which made it impossible to cut with the in-situ bars. When trying to make the final adjustment of the system, the anti-torque of the bolt cutter did not work. The shear did not cut properly, that's why the inners had to be removed to cut the bar outside. When trying to make the final adjustment, due to the wear of the unknown screwdriver it was impossible to reach the end of the adjustment because it rounded the nuts of the system. The final adjustment was attempted, however eight (8) unknown consecutive nuts were rounded (inners were nicked). Procedure was not successfully completed. There was a surgical delay of one (1) hour. Patient outcome is reported as not being able to fully correct the deformity and not able to make the adjustment. This report is for one (1) bolt cutter. This is report 1 of 1 for complaint (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8030965-2019-63065
MDR Report Key8540453
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2019-04-23
Date of Report2019-03-27
Date of Event2019-03-22
Date Mfgr Received2019-06-23
Device Manufacturer Date2018-05-15
Date Added to Maude2019-04-23
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 ContactKARA DITTY-BOVARD
Manufacturer Street1302 WRIGHTS LANE EAST
Manufacturer CityWEST CHESTER PA 19380
Manufacturer CountryUS
Manufacturer Postal19380
Manufacturer Phone6103142063
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 NameROD CUTTER
Generic NameCUTTER,WIRE
Product CodeHXZ
Date Received2019-04-23
Returned To Mfg2019-05-03
Catalog Number388.720
Lot NumberT165145
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerOBERDORF SYNTHES PRODUKTIONS GMBH
Manufacturer AddressEIMATTSTRASSE 3 OBERDORF 4436 SZ 4436


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-04-23

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