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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 4

MDR Year MDR Reports MDR Events
2021 1047 10603
2022 900 7869
2023 948 7090
2024 1153 7145
2025 1944 6940
2026 466 1470

Device Problems MDRs with this Device Problem Events in those MDRs
Overheating of Device 2495 18754
Fracture 1666 1920
Flaked 577 18048
Vibration 322 322
Detachment of Device or Device Component 318 669
No Apparent Adverse Event 293 293
Break 222 222
Excessive Heating 210 210
Material Fragmentation 154 156
Noise, Audible 143 143
Naturally Worn 79 79
Device Remains Activated 57 58
Mechanical Jam 56 56
Device Alarm System 55 55
Loss of Power 52 52
Separation Problem 50 52
Difficult to Insert 48 48
Fluid/Blood Leak 44 62
Difficult to Remove 42 42
Physical Resistance/Sticking 41 41
Electrical /Electronic Property Problem 37 37
Use of Device Problem 32 32
Complete Loss of Power 31 31
Dull, Blunt 30 30
Corroded 30 80
Appropriate Term/Code Not Available 29 29
Connection Problem 28 28
Material Twisted/Bent 27 375
Adverse Event Without Identified Device or Use Problem 23 23
Fail-Safe Did Not Operate 23 23
Mechanical Problem 19 19
Material Deformation 19 24
Material Frayed 18 18
Smoking 17 17
Material Disintegration 17 19
Self-Activation or Keying 17 17
Device Displays Incorrect Message 16 16
Device-Device Incompatibility 15 15
Unintended Movement 14 14
Delivered as Unsterile Product 14 16
Entrapment of Device 13 13
Unintended System Motion 12 12
Leak/Splash 10 10
Material Integrity Problem 9 9
Intermittent Loss of Power 9 9
Premature Separation 9 9
Output below Specifications 8 8
Fitting Problem 7 7
Misconnection 7 7
Insufficient Information 6 6

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 6103 40762
Insufficient Information 273 4278
Device Embedded In Tissue or Plaque 60 60
Burn(s) 60 1837
Foreign Body In Patient 58 60
Unintended Radiation Exposure 32 32
Superficial (First Degree) Burn 20 749
Hemorrhage/Bleeding 12 12
Unspecified Tissue Injury 11 12
Spinal Cord Injury 9 9
Perforation 7 7
Pain 7 7
No Consequences Or Impact To Patient 6 6
Cerebrospinal Fluid Leakage 5 5
Nicks, cuts or tears of dura or other tissues by device 5 5
Chemical Exposure 4 4
Numbness 4 4
Hematoma 4 4
Partial thickness (Second Degree) Burn 4 170
Nerve Damage 3 3
Paresis 3 3
Abrasion 2 2
Awareness during Anaesthesia 2 2
Laceration(s) 2 2
Perforation of Vessels 2 2
Swelling/ Edema 2 2
Hypoesthesia 2 2
Unspecified Infection 2 2
Blister 1 1
No Known Impact Or Consequence To Patient 1 1
Epistaxis 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
Bone Fracture(s) 1 1
Visual Impairment 1 1
Abscess 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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