NA 323.46Recalls & reported problems
Synthes GmbH · 4.5MM UNIVERSAL DRILL GUIDE · Class 1
- Adverse event reports
- 14
- Deaths reported
- 0
- Injuries reported
- 0
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 14 adverse event reports that list this exact device (DI 10886982190857), received between Jul 31, 2018 and Dec 2, 2025 — classified as 14 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. How this data works · Data updated Oct 13, 2026.
Reports received per month
Most reported problems
Device problems
- Break9
- Material Deformation3
- Device-Device Incompatibility1
- Material Twisted/Bent1
Patient problems
- No Clinical Signs, Symptoms or Conditions8
- No Patient Involvement4
- Insufficient Information1
- No Consequences Or Impact To Patient1
Recent adverse event reports
The 14 most recent of 14 reports, in the reporter's own words as published by the FDA.
MalfunctionDec 2, 2025Break; Break
IT WAS REPORTED THAT ON AN UNKNOWN DATE, THE 4.5 UNIVERSAL DRILL GUIDES SPRINGS WERE BROKEN UPON CLEANING IN DECONTAMINATION IN CSPD. THERE WAS NO PATIENT CONSEQUENCE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23693572 ↗MalfunctionDec 2, 2025Break; Break
IT WAS REPORTED THAT ON AN UNKNOWN DATE, THE 4.5 UNIVERSAL DRILL GUIDES SPRINGS WERE BROKEN UPON CLEANING IN DECONTAMINATION IN CSPD. THERE WAS NO PATIENT CONSEQUENCE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23693561 ↗MalfunctionDec 2, 2025Break; Break
IT WAS REPORTED THAT ON AN UNKNOWN DATE, THE 4.5 UNIVERSAL DRILL GUIDES SPRINGS WERE BROKEN UPON CLEANING IN DECONTAMINATION IN CSPD. THERE WAS NO PATIENT CONSEQUENCE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23693534 ↗MalfunctionDec 2, 2025Break; Break
IT WAS REPORTED THAT ON AN UNKNOWN DATE, THE 4.5 UNIVERSAL DRILL GUIDES SPRINGS WERE BROKEN UPON CLEANING IN DECONTAMINATION IN CSPD. THERE WAS NO PATIENT CONSEQUENCE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23693487 ↗MalfunctionDec 2, 2025Break; Break
IT WAS REPORTED THAT ON AN UNKNOWN DATE, THE 4.5 UNIVERSAL DRILL GUIDES SPRINGS WERE BROKEN UPON CLEANING IN DECONTAMINATION IN CSPD. THERE WAS NO PATIENT CONSEQUENCE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23693474 ↗MalfunctionMay 29, 2025Material Deformation; Material Deformation
IT WAS REPORTED THAT ON AN UNKNOWN DATE, THE DRILL GUIDE WAS BENT AND THE TIP WAS SMASHED. DRILL BIT WOULD NOT PASS THROUGH.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22103842 ↗MalfunctionJul 8, 2024Break; Break
IT WAS REPORTED THAT ON AN UNKNOWN DATE, THE INSTRUMENTS WERE BROKEN. IT IS UNKNOWN IF THERE WAS PATIENT OR PROCEDURE INVOLVEMENT. NO FURTHER INFORMATION IS AVAILABLE. THIS REPORT INVOLVES ONE 4.5MM UNIVERSAL DRILL GUIDE. THIS IS REPORT 5 OF 8 FOR (B)(4). ADDITIONAL IMPACTED PRODUCTS ARE CAPTURED IN (B)(4).
Patient problems: Insufficient Information
MAUDE report 19694227 ↗MalfunctionDec 30, 2021Material Deformation; Material Deformation
THIS REPORT IS 3 OF 4 FOR (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 13122363 ↗MalfunctionApr 5, 2021Break; Break
IT WAS REPORTED THAT DURING A ROUTINE INSPECTION OF A LOANER SET IT WAS OBSERVED THAT THE UNIVERSAL DRILL GUIDE WAS BROKEN AT FSL UPS LYNDHURST, NJ SITE. NO PATIENT INVOLVEMENT. THIS REPORT IS FOR ONE (1) 4.5MM UNIVERSAL DRILL GUIDE. THIS IS REPORT 1 OF 1 FOR COMPLAINT (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 11613511 ↗MalfunctionDec 9, 2019Break; Break
IT WAS REPORTED THAT IN THE STERILE PROCESSING DEPARTMENT, A UNIVERSAL DRILL GUIDE AND A T25 STARDRIVE SCREWDRIVER SHAFT WERE NOTED TO BE BROKEN. THERE WAS NO PATIENT INVOLVEMENT. THIS IS REPORT 1 OF 2 FOR (B)(4).
Patient problems: No Consequences Or Impact To Patient
MAUDE report 9437897 ↗MalfunctionOct 8, 2019Material Deformation; Material Deformation
IT WAS REPORTED THAT ON (B)(6) 2019, DURING THE INVENTORY OF THE PERIARTICULAR SET, THE TIP OF THE UNIVERSAL DRILL GUIDE WAS OBSERVED TO BE FLARED OUT AND WILL NOT ALLOW THE INSTRUMENT TO BE TAKEN APART FOR CLEANING PURPOSES. THERE WAS NO PATIENT INVOLVEMENT. THIS COMPLAINT INVOLVES ONE (1) 4.5MM UNIVERSAL DRILL GUIDE. THIS IS REPORT 1 OF 1 FOR (B)(4).
Patient problems: No Patient Involvement
MAUDE report 9168586 ↗MalfunctionJun 5, 2019Device-Device Incompatibility; Device-Device Incompatibility
IT WAS REPORTED THAT DURING A ROUTINE INCOMING INSPECTION ON (B)(6) 2019, IT WAS OBSERVED THAT THE UNIVERSAL DRILL GUIDE HAD A STUCK SCREW. THERE WAS NO PATIENT INVOLVEMENT. THIS REPORT IS FOR A UNIVERSAL DRILL GUIDE. THIS IS REPORT 1 OF 2 FOR (B)(4).
Patient problems: No Patient Involvement
MAUDE report 8670068 ↗MalfunctionNov 7, 2018Material Twisted/Bent; Material Twisted/Bent
IT WAS REPORTED THAT IN THE STERILE PROCESSING DEPARTMENT ON (B)(6) 2018, IT WAS NOTICED THAT A UNIVERSAL DRILL GUIDE SEEMED TIGHT AND HARD TO GET THE CAP OFF. THERE IS NO PROCEDURE AND PATIENT INVOLVEMENT. THIS REPORT IS FOR A 4.5MM UNIVERSAL DRILL GUIDE. THIS IS REPORT 1 OF 1 FOR (B)(4).
Patient problems: No Patient Involvement
MAUDE report 8046010 ↗MalfunctionJul 31, 2018Break; Break
(B)(6) REPORTS THAT ON AN UNKNOWN DATE, THE SPRING OF A UNIVERSAL DRILL GUIDE WAS NOTED TO BE BROKEN AND JAMMED. THERE WAS NO PATIENT INVOLVEMENT. THIS REPORT IS FOR A 4.5MM UNIVERSAL DRILL GUIDE. THIS IS REPORT 1 OF 1 FOR (B)(4).
Patient problems: No Patient Involvement
MAUDE report 7736101 ↗
Other Guide, surgical, instrument devices
- NA 03.037.017Synthes GmbH · Guide, surgical, instrument346 reports
- EVOS 71174934Smith & Nephew, Inc. · Guide, surgical, instrument149 reports
- LCP 323.042Synthes GmbH · Guide, surgical, instrument129 reports
- DJO SURGICAL 342-10-705Encore Medical, L.P. · Guide, Surgical, Instrument1 recall51 reports
- DJO SURGICAL 341-10-707Encore Medical, L.P. · Guide, Surgical, Instrument81 reports
- NA 03.010.404Synthes GmbH · Guide, surgical, instrument73 reports
- DJO SURGICAL 341-14-708Encore Medical, L.P. · Guide, Surgical, Instrument1 recall22 reports
- DJO SURGICAL 341-10-711Encore Medical, L.P. · Guide, Surgical, Instrument1 recall16 reports
Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.