WATSON EXTRACTION SYSTEM
Received May 21, 2026 · Event occurred May 6, 2026
Report 1818910-2026-09109 · MDR key 25243741
Device
Generic name
Orthopedic Handle
Manufacturer
Depuy Ireland - 3015516266Catalog number
17201A
Lot number
PG351896
Product problems
- Break
- Illegible Information
Patient
32 YR · Female
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
IT WAS REPORTED THAT WHILE USING THE WATSON SLAP HAMMER, THE CONNECTION BROKE. TWO PIECES CAME OFF OF THE EXTRACTION PIECE AND WERE RETRIEVED. NO HARM TO THE PATIENT AND NO DELAY IN SURGERY. THE LOT WAS NOT LEGIBLE DUE TO WEAR ON THE PRODUCT.
Additional Manufacturer Narrative
PRODUCT COMPLAINT # (B)(4). THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY DEPUY SYNTHES, OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, DEPUY SYNTHES, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE. H11 ADDITIONAL NARRATIVE: D4: UDI: AS THE LOT NUMBER FOR THE DEVICE INVOLVED IN THE EVENT WAS NOT PROVIDED, THE FULL UDI IS CURRENTLY NOT AVAILABLE.