inforMED
MalfunctionHWM

THIN OSTEOTOME HANDLE

Received Mar 17, 2025 · Event occurred Jan 1, 2025

Report 1818910-2025-04069 · MDR key 21620741

Device

Generic name

Hip Instruments : Handles

Catalog number

242210000

Lot number

FB4GH4000

Product problems

  • Break
  • Break

Patient

NA · Male

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

DEPUY SYNTHES IS SUBMITTING THIS REPORT PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH DEPUY SYNTHES HAS NOT BEEN ABLE TO INVESTIGATE OR VERIFY PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY FDA, DEPUY SYNTHES OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE DEVICE, DEPUY SYNTHES, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF THE INFORMATION IS UNKNOWN, NOT AVAILABLE OR DOES NOT APPLY, THE SECTION/FIELD OF THE FORM IS LEFT BLANK. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem

IT WAS REPORTED THAT TIBIA EXTRACTOR BROKE WHILE REMOVING THE TIBIA. THE FEMORAL EXTRACTOR WON¿T GRIP SIDES OF FEMUR ANYMORE. THE CLAWS WERE WORN DOWN. OSTETOME HANDLE BROKE APART WHERE BLADE IS INSERTED.