inforMED
MalfunctionHTE

PERIOSTEAL ELEVATOR 6MM CURVED BLADE-ROUND EDGE

Received Oct 26, 2017 · Event occurred Oct 2, 2017

Report 3009417901-2017-10022 · MDR key 6982173

Device

Generic name

Elevator

Manufacturer

Synthes Salzburg

Catalog number

399.360

Lot number

5017895

Product problems

  • Break
  • Break

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

NO PATIENT INVOLVEMENT WAS REPORTED. DEVICE IS AN INSTRUMENT AND IS NOT IMPLANTED/EXPLANTED. COMPLAINANT PART IS NOT EXPECTED TO BE RETURNED FOR MANUFACTURER REVIEW/INVESTIGATION. HOSPITAL TELEPHONE NOT AVAILABLE FOR REPORTING. THE INVESTIGATION COULD NOT BE COMPLETED; NO CONCLUSION COULD BE DRAWN, AS NO PRODUCT WAS RECEIVED. DHR REVIEW WAS COMPLETED. MANUFACTURING LOCATION: (B)(4). MANUFACTURING DATE: 31.MAR.2008. NO NCRS WERE GENERATED DURING PRODUCTION. REVIEW OF THE DEVICE HISTORY RECORD(S) SHOWED THAT THERE WERE NO ISSUES DURING THE MANUFACTURE OF THE PRODUCT THAT WOULD CONTRIBUTE TO THIS COMPLAINT CONDITION. 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.

Description of Event or Problem

DEVICE REPORT FROM SYNTHES EUROPE REPORTS AN EVENT IN (B)(6) AS FOLLOWS: IT WAS REPORTED THAT THE PERIOSTEAL ELEVATOR BROKE. IT IS NOT KNOWN HOW THE ISSUE OCCURRED. NO PATIENT OR SURGICAL INVOLVEMENT. THIS REPORT IS FOR ONE (1) PERIOSTEAL ELEVATOR 6MM CURVED BLADE-ROUND EDGE THIS IS REPORT 1 OF 1 FOR (B)(4).