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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device drills, burrs, trephines & accessories (simple, powered)
Regulation Description Powered simple cranial drills, burrs, trephines, and their accessories.
Product CodeHBE
Regulation Number 882.4310
Device Class 2


Premarket Reviews
ManufacturerDecision
ADEOR MEDICAL AG
  SUBSTANTIALLY EQUIVALENT 1
AESCULAP, INC.
  SUBSTANTIALLY EQUIVALENT 1
BIOMET MICOFIXATION
  SUBSTANTIALLY EQUIVALENT 1
BIOMET MICROFIXATION
  SUBSTANTIALLY EQUIVALENT 2
HUBLY, INC.
  SUBSTANTIALLY EQUIVALENT 2
MEDTRONIC POWERED SURGICAL SOLUTIONS
  SUBSTANTIALLY EQUIVALENT 1
NAKANISHI, INC.
  SUBSTANTIALLY EQUIVALENT 2
PHASOR HEALTH, LLC
  SUBSTANTIALLY EQUIVALENT 1
STRYKER CORPORATION
  SUBSTANTIALLY EQUIVALENT 1
STRYKER INSTRUMENTS
  SUBSTANTIALLY EQUIVALENT 1
SURGIFY MEDICAL OY
  SUBSTANTIALLY EQUIVALENT 3

MDR Year MDR Reports MDR Events
2021 1047 10603
2022 900 7869
2023 948 7090
2024 1153 7145
2025 1945 6941

Device Problems MDRs with this Device Problem Events in those MDRs
Overheating of Device 2395 17890
Fracture 1601 1844
Flaked 552 17837
Vibration 294 294
Detachment of Device or Device Component 248 555
No Apparent Adverse Event 224 224
Break 215 215
Excessive Heating 202 202
Material Fragmentation 147 149
Noise, Audible 132 132
Device Remains Activated 55 56
Mechanical Jam 51 51
Device Alarm System 51 51
Separation Problem 49 51
Naturally Worn 45 45
Fluid/Blood Leak 42 60
Loss of Power 39 39
Electrical /Electronic Property Problem 37 37
Difficult to Remove 34 34
Complete Loss of Power 30 30
Dull, Blunt 28 28
Physical Resistance/Sticking 28 28
Use of Device Problem 28 28
Connection Problem 27 27
Material Twisted/Bent 27 375
Appropriate Term/Code Not Available 26 26
Difficult to Insert 24 24
Adverse Event Without Identified Device or Use Problem 22 22
Fail-Safe Did Not Operate 20 20
Material Deformation 18 23
Mechanical Problem 17 17
Material Disintegration 17 19
Smoking 17 17
Device Displays Incorrect Message 16 16
Self-Activation or Keying 16 16
Material Frayed 15 15
Device-Device Incompatibility 14 14
Delivered as Unsterile Product 14 16
Unintended Movement 13 13
Entrapment of Device 12 12
Unintended System Motion 11 11
Corroded 10 60
Material Integrity Problem 9 9
Intermittent Loss of Power 9 9
Premature Separation 9 9
Leak/Splash 8 8
Fitting Problem 7 7
Misconnection 7 7
Output below Specifications 6 6
Insufficient Information 6 6

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 5683 39338
Insufficient Information 224 4146
Burn(s) 60 1837
Device Embedded In Tissue or Plaque 56 56
Foreign Body In Patient 56 58
Unintended Radiation Exposure 28 28
Superficial (First Degree) Burn 20 749
Hemorrhage/Bleeding 11 11
Unspecified Tissue Injury 11 12
Spinal Cord Injury 9 9
Pain 7 7
No Consequences Or Impact To Patient 6 6
Perforation 6 6
Partial thickness (Second Degree) Burn 5 171
Cerebrospinal Fluid Leakage 5 5
Numbness 4 4
Chemical Exposure 4 4
Hematoma 4 4
Nicks, cuts or tears of dura or other tissues by device 4 4
Nerve Damage 3 3
Paresis 3 3
Awareness during Anaesthesia 2 2
Laceration(s) 2 2
Abrasion 2 2
Perforation of Vessels 2 2
Swelling/ Edema 2 2
Hypoesthesia 2 2
Unspecified Infection 2 2
No Known Impact Or Consequence To Patient 1 1
Epistaxis 1 1
Blister 1 1
Cerebral Hyperperfusion Syndrome 1 1
Intracranial Hemorrhage 1 1
Paralysis 1 1
Exposure to Body Fluids 1 1
Erythema 1 1
Alteration in Body Temperature 1 1
Visual Impairment 1 1
Abscess 1 1
Bone Fracture(s) 1 1
Necrosis 1 1
Pulmonary Dysfunction 1 1
Urinary Frequency 1 1
Hormonal Imbalance 1 1
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 1 1
Full thickness (Third Degree) Burn 1 1
Impaired Healing 1 1

Recalls
Manufacturer Recall Class Date Posted
1 Medtronic Xomed, Inc. II Aug-27-2025
2 Medtronic Xomed, Inc. II Oct-21-2021
3 Phasor Health, LLC II Jul-29-2025
4 Stryker Corporation II Jan-17-2025
5 Stryker Corporation II Jan-17-2025
6 Stryker Corporation II Oct-11-2024
7 Stryker Corporation II Aug-26-2024
8 Stryker Instruments II Jul-28-2022
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