GUIDEWIRE 1.25 W/THREAD-TIP W/TROCAR L1 292.620S

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 2020-03-25 for GUIDEWIRE 1.25 W/THREAD-TIP W/TROCAR L1 292.620S manufactured by Oberdorf Synthes Produktions Gmbh.

Event Text Entries

[185938606] Device is not distributed in the united states, but is similar to device marketed in the usa. The investigation could not be completed; no conclusion could be drawn, as no product was received. 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


[185938607] Device report from synthes reports an event in (b)(6) as follows: it was reported that on (b)(6) 2020, the patient underwent open reduction internal fixation surgery for the tibia medial malleolar fracture with the guide wire in question. During surgery, the surgeon inserted 2 guide wires. The surgeon drilled one hole, but then had difficulty in drilling the second hole. After drilling, the surgeon inserted screws, and tried to remove the guide wires. When removing the second guide wire, the screw slightly came out and the tip of the guide wire was broken. Image intensifier showed the fragment of the guide wire remained in the bone. The surgeon decided to leave the fragment in the bone. The surgery was completed without any surgical delay. No further information is available. Concomitant device reported: unk - screws: cannulated: trauma (part # unknown, lot # unknown, quantity # unknown), unk - guides/ sleeves/aiming: sleeve (part # unknown, lot # unknown, quantity # unknown), unk - guides/ sleeves/aiming: guide (part # unknown, lot # unknown, quantity # unknown). This report is for one (1) guidewire 1. 25 w/thread-tip w/ trocar l1. This is report 1 of 1 for (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8030965-2020-02295
MDR Report Key9879500
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-03-25
Date of Report2020-02-26
Date of Event2020-02-26
Date Mfgr Received2020-03-26
Date Added to Maude2020-03-25
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 SELZACH
Manufacturer StreetBOHACKERWEG 5
Manufacturer CitySELZACH 2545
Manufacturer CountrySZ
Manufacturer Postal Code2545
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameGUIDEWIRE 1.25 W/THREAD-TIP W/TROCAR L1
Generic NameWIRE,SURGICAL
Product CodeLRN
Date Received2020-03-25
Catalog Number292.620S
Lot Number5L52418
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
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
101. Required No Informationntervention 2020-03-25

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