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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 1
HUBLY, INC.
  SUBSTANTIALLY EQUIVALENT 1
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
2020 1025 10805
2021 1047 10601
2022 900 7868
2023 948 7089
2024 1153 7145
2025 1772 6768

Device Problems MDRs with this Device Problem Events in those MDRs
Overheating of Device 2673 19419
Fracture 1773 2050
Flaked 683 26144
Vibration 363 363
Detachment of Device or Device Component 275 591
Break 260 270
Excessive Heating 240 240
Material Fragmentation 172 172
No Apparent Adverse Event 168 168
Noise, Audible 148 148
Physical Resistance/Sticking 59 59
Device Remains Activated 58 58
Mechanical Jam 57 57
Material Twisted/Bent 53 701
Separation Problem 50 50
Device Alarm System 48 48
Fluid/Blood Leak 47 67
Use of Device Problem 42 42
Mechanical Problem 41 41
Electrical /Electronic Property Problem 41 41
Naturally Worn 39 39
Connection Problem 37 37
Loss of Power 36 36
Difficult to Remove 35 35
Smoking 34 34
Complete Loss of Power 31 31
Appropriate Term/Code Not Available 29 29
Dull, Blunt 27 27
Adverse Event Without Identified Device or Use Problem 23 23
Difficult to Insert 22 22
Material Deformation 18 23
Self-Activation or Keying 18 18
Material Disintegration 18 20
Delivered as Unsterile Product 17 19
Device Displays Incorrect Message 17 17
Fail-Safe Did Not Operate 17 17
Defective Component 15 15
Device-Device Incompatibility 14 14
Unintended Movement 14 14
Material Integrity Problem 13 13
Entrapment of Device 13 13
Unintended System Motion 12 12
Material Frayed 12 12
Material Separation 11 11
Intermittent Loss of Power 10 10
Corroded 10 60
Insufficient Information 9 9
Power Problem 9 9
Display or Visual Feedback Problem 9 9
Premature Separation 8 8

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 5841 45985
No Consequences Or Impact To Patient 396 2724
No Patient Involvement 308 7384
Insufficient Information 219 4227
No Known Impact Or Consequence To Patient 189 893
Foreign Body In Patient 68 70
Device Embedded In Tissue or Plaque 62 62
Burn(s) 62 1875
Unintended Radiation Exposure 31 31
Superficial (First Degree) Burn 20 761
No Information 16 130
Hemorrhage/Bleeding 13 13
Injury 12 12
Unspecified Tissue Injury 11 11
Spinal Cord Injury 9 9
Chemical Exposure 9 9
Perforation 8 8
Pain 6 6
Cerebrospinal Fluid Leakage 5 5
Partial thickness (Second Degree) Burn 4 170
Numbness 4 4
Nicks, cuts or tears of dura or other tissues by device 3 3
Hematoma 3 3
Abrasion 3 3
Paresis 3 3
Nerve Damage 3 3
Hypoesthesia 2 2
Swelling/ Edema 2 2
Perforation of Vessels 2 2
Laceration(s) 2 2
Awareness during Anaesthesia 2 2
Blood Loss 2 2
Patient Problem/Medical Problem 2 2
Unspecified Infection 2 2
Erythema 1 1
Alteration in Body Temperature 1 1
Exposure to Body Fluids 1 1
Paralysis 1 1
Intracranial Hemorrhage 1 1
Epistaxis 1 1
Visual Impairment 1 1
Abscess 1 1
Blister 1 1
Cerebral Hyperperfusion Syndrome 1 1
Bone Fracture(s) 1 1
Necrosis 1 1
Tissue Damage 1 1
No Code Available 1 1
Radiation Exposure, Unintended 1 1
Pulmonary Dysfunction 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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