NA 321.20Recalls & reported problems
Synthes GmbH · RATCHET WRENCH-11MM WIDTH ACROSS FLATS · Class 1
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 9
- Deaths reported
- 0
- Injuries reported
- 0
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 9 adverse event reports that list this exact device (DI 10886982190444), received between Feb 27, 2020 and Dec 1, 2025 — classified as 9 malfunctions.
The most frequently reported specific device problem is “Break” (9 reports).
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.
Reports received per month
Most reported problems
Device problems
- Break9
Patient problems
- No Clinical Signs, Symptoms or Conditions7
- Insufficient Information1
- No Patient Involvement1
Recent adverse event reports
The 9 most recent of 9 reports, in the reporter's own words as published by the FDA.
MalfunctionDec 1, 2025Break; Break
IT WAS REPORTED THAT ON (B)(6) 2025 THE ARTHREX PULLED A LARGE EXFIX SET TO USE AND 2 RATCHETING WRENCHES WERE BROKEN DURING CASE TRYING TO REMOVE AN EXFIX. THEN THE MANUAL WRENCH WAS USED WHICH WAS KEPT AS A BACKUP IN THE HOUSE. THE SURGERY WAS SUCCESSFULLY COMPLETED WITH NO SURGICAL DELAY. THERE WAS NO GENERATION OF FRAGMENTS. THERE WAS NO PATIENT CONSEQUENCES BUT A SLIGHT DELAY DURING CASE BUT NOTHING SIGNIFICANT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23679043 ↗MalfunctionDec 1, 2025Break; Break
IT WAS REPORTED THAT ON (B)(6) 2025 THE ARTHREX PULLED A LARGE EXFIX SET TO USE AND 2 RATCHETING WRENCHES WERE BROKEN DURING CASE TRYING TO REMOVE AN EXFIX. THEN THE MANUAL WRENCH WAS USED WHICH WAS KEPT AS A BACKUP IN THE HOUSE. THE SURGERY WAS SUCCESSFULLY COMPLETED WITH NO SURGICAL DELAY. THERE WAS NO GENERATION OF FRAGMENTS. THERE WAS NO PATIENT CONSEQUENCES BUT A SLIGHT DELAY DURING CASE BUT NOTHING SIGNIFICANT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23679014 ↗MalfunctionFeb 14, 2024Break; Break
IT WAS REPORTED THAT ON AN UNKNOWN DATE, THE SALES CONSULTANT FOUND A COUPLE BROKEN INSTRUMENTS. THE SALES ASSOCIATE WAS UNSURE AS TO HOW OR WHEN THE INSTRUMENTS BROKE. IT IS UNKNOWN IF THERE WERE PATIENT AND PROCEDURE INVOLVEMENT. NO OTHER INFORMATION WAS PROVIDED. THIS REPORT IS FOR ONE (1) RATCHET WRENCH-11MM WIDTH ACROSS FLATS. THIS IS REPORT 3 OF 5 FOR COMPLAINT (B)(4).
Patient problems: Insufficient Information
MAUDE report 18702810 ↗MalfunctionJul 6, 2023Break; Break
IT WAS REPORTED THAT ON (B)(6), 2023, THE RATCHET BROKE DURING SURGERY. THE SURGERY WAS COMPLETED SUCCESSFULLY WITH NO DELAY, AND NO BROKEN FRAGMENTS WERE RETAINED IN THE PATIENT. THERE WAS NO PATIENT CONSEQUENCE. THIS REPORT INVOLVES ONE RATCHET WRENCH-11MM WIDTH ACROSS FLATS. THIS IS REPORT 1 OF 1 FOR (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17266011 ↗MalfunctionSep 19, 2022Break; Break
IT WAS REPORTED THAT ON AN UNKNOWN DATE, THE SURGEON WAS TIGHTENING EX FIX CLAMP WITH WRENCH WHEN RATCHETING MECHANISM BROKE. USED DIFFERENT WRENCH IN SET. NO FRAGMENTS WERE GENERATED AND THE PROCEDURE WAS SUCCESSFULLY COMPLETED. NO SURGICAL DELAY. THERE WAS NO PATIENT CONSEQUENCE. CONCOMITANT DEVICE REPORTED: UNK - EX-FIX CLAMPS (PART# UNKNOWN; LOT# UNKNOWN; QUANTITY: 1). THIS REPORT IS FOR ONE (1) RATCHET WRENCH-11MM WIDTH ACROSS FLATS. THIS IS REPORT 1 OF 1 FOR COMPLAINT (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 15449325 ↗MalfunctionJun 29, 2022Break; Break
DEVICE REPORT FROM SYNTHES REPORTS AN EVENT IN THE USA AS FOLLOWS: IT WAS REPORTED THAT ON AN UNKNOWN DATE, RATCHETING WRENCH FOR THE LARGE EXTERNAL FIXATION SET BROKE DURING SURGERY. IT WOULD NOT TIGHTEN THE NUTS ON THE LARGE COMBINATION CLAMPS. THERE WAS NO SURGICAL DELAY. THE PROCEDURE WAS COMPLETED SUCCESSFULLY. THERE WAS NO PATIENT OUTCOME OR CONSEQUENCES. THIS COMPLAINT INVOLVES ONE (1) DEVICE RATCHET WRENCH-11MM WIDTH ACROSS FLATS. THIS IS REPORT 1 OF 1 FOR COMPLAINT (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 14854370 ↗MalfunctionJan 7, 2022Break; Break
IT WAS REPORTED THAT ON UNKNOWN DATE, PRODUCTS FOUND BROKEN AFTER SURGERY AND ARE BEYOND REPAIR. NO FURTHER INFORMATION IS AVAILABLE. THIS COMPLAINT INVOLVES EIGHTEEN (18) DEVICES. THIS REPORT IS FOR (1) RATCHET WRENCH-11MM WIDTH ACROSS FLATS. THIS REPORT IS 10 OF 14 FOR (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 13196384 ↗MalfunctionMay 25, 2021Break; Break
IT WAS REPORTED THAT ON AN UNKNOWN DATE, THE RATCHET WRENCH AND THE UNIVERSAL BENDING PLIERS WERE BROKEN. IT IS UNKNOWN WHEN AND WHERE THE ISSUE WAS DISCOVERED. IT IS UNKNOWN IF THERE IS PATIENT OR PROCEDURE INVOLVEMENT. THIS COMPLAINT INVOLVES ONE (1) DEVICES. THIS REPORT IS 1 OF 1 FOR (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 11877930 ↗MalfunctionFeb 27, 2020Break; Break
IT WAS REPORTED THAT ON AN UNKNOWN DATE, THE SALES CONSULTANT WAS GIVEN A BROKEN ITEM BY STERILE PROCESSING DEPARTMENT (SPD). THERE WAS NO PATIENT INVOLVEMENT. THIS COMPLAINT INVOLVES ONE (1) DEVICE. THIS REPORT IS 1 OF 1 FOR (B)(4).
Patient problems: No Patient Involvement
MAUDE report 9765771 ↗
Other WRENCH devices
- MONARCH 277040510Medos International Sàrl · WRENCH199 reports
- PINNACLE 2217-50-008Depuy (Ireland) · WRENCH108 reports
- SIGMA 96-1673Depuy (Ireland) · WRENCH102 reports
- P.F.C. 86-5189Depuy (Ireland) · WRENCH92 reports
- Veptr 03.641.004Synthes GmbH · WRENCH86 reports
- RECLAIM 2975-00-300Depuy (Ireland) · WRENCH51 reports
- PINNACLE 2217-50-006Depuy (Ireland) · WRENCH34 reports
- NA 388.261Synthes GmbH · WRENCH32 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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