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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 1943 6939
2026 3482 5284

Device Problems MDRs with this Device Problem Events in those MDRs
Overheating of Device 2886 19820
Fracture 1732 2009
Detachment of Device or Device Component 1110 1490
No Apparent Adverse Event 864 864
Naturally Worn 600 600
Flaked 580 18052
Vibration 440 443
Difficult to Insert 343 343
Excessive Heating 216 216
Noise, Audible 201 201
Break 186 186
Material Fragmentation 161 163
Difficult to Remove 157 157
Loss of Power 148 148
Physical Resistance/Sticking 87 87
Corroded 59 59
Device Remains Activated 58 59
Mechanical Jam 57 57
Device Alarm System 55 55
Fluid/Blood Leak 51 69
Separation Problem 50 52
Material Deformation 43 48
Electrical /Electronic Property Problem 38 38
Material Twisted/Bent 37 384
Use of Device Problem 32 32
Complete Loss of Power 32 32
Fail-Safe Did Not Operate 31 31
Dull, Blunt 30 30
Connection Problem 29 29
Appropriate Device Problem Term/Code Not Available 29 29
Adverse Event Without Identified Device or Use Problem 24 24
Material Frayed 23 23
Mechanical Problem 21 21
Self-Activation or Keying 21 21
Loose or Intermittent Connection 19 19
Material Integrity Problem 19 19
Smoking 18 18
Device Displays Incorrect Message 17 17
Material Disintegration 17 19
Insufficient Device Problem Information 16 16
Device-Device Incompatibility 16 16
Delivered as Unsterile Product 15 17
Unintended Movement 14 14
Unintended System Motion 12 12
Leak/Splash 11 11
Intermittent Loss of Power 9 9
Premature Separation 9 9
Output below Specifications 8 8
Power Problem 7 7
Device Reprocessing Problem 7 7

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 8958 44415
Insufficient Information 455 4661
Burn(s) 64 1933
Device Embedded In Tissue or Plaque 62 62
Foreign Body In Patient 61 68
Unintended Radiation Exposure 37 37
Superficial (First Degree) Burn 21 840
Hemorrhage/Blood Loss/Bleeding 13 13
Unspecified Tissue Injury 12 13
Spinal Cord Injury 9 9
Perforation 7 7
Pain 7 7
No Consequences Or Impact To Patient 6 6
Cerebrospinal Fluid Leakage 5 5
Dural Tear 5 5
Partial thickness (Second Degree) Burn 5 171
Chemical Exposure 5 5
Hematoma 4 4
Numbness 4 4
Paresis 3 3
Nerve Damage 3 3
Laceration(s) 2 2
Swelling/ Edema 2 2
Abrasion 2 2
Unspecified Infection 2 2
Perforation of Vessels 2 2
Hypoesthesia 2 2
Awareness during Anaesthesia 2 2
Bone Fracture(s) 1 1
Erythema 1 1
Impaired Healing 1 1
Necrosis 1 1
Intracranial Hemorrhage 1 1
Paralysis 1 1
No Known Impact Or Consequence To Patient 1 1
Epistaxis 1 1
Pulmonary Dysfunction 1 1
Abscess 1 1
Full thickness (Third Degree) Burn 1 1
Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available 1 1
Cerebral Hyperperfusion Syndrome 1 1
Blister 1 1
Alteration in Body Temperature 1 1
Urinary Frequency / Polyuria 1 1
Visual Impairment 1 1
Septic loosening 1 1
Facial Paralysis 1 1
Abnormal mucus discharge 1 1
Intracranial Pressure Increased 1 1
Hormonal Imbalance 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 SURGIFY MEDICAL OY II Jun-24-2026
5 Stryker Corporation II Jan-17-2025
6 Stryker Corporation II Jan-17-2025
7 Stryker Corporation II Oct-11-2024
8 Stryker Corporation II Aug-26-2024
9 Stryker Instruments II Jul-28-2022
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