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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO ZYPHR DISPOSABLE CRANIAL PERFORATOR, LARGE 14/11MM; DRILLS, BURRS, TREPHINES & ACCESSORIES

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STRYKER INSTRUMENTS-KALAMAZOO ZYPHR DISPOSABLE CRANIAL PERFORATOR, LARGE 14/11MM; DRILLS, BURRS, TREPHINES & ACCESSORIES Back to Search Results
Catalog Number 5100060001
Device Problem Failure to Auto Stop (2938)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 11/16/2016
Event Type  malfunction  
Manufacturer Narrative
A follow up report will be filed once the quality investigation is complete.Perforator bit discarded.
 
Event Description
It was reported that during a cranial procedure, the perforator bit did not stop.It was also reported that the surgeon noticed immediately that the perforator bit didn¿t stop turning there was no adverse consequences as a result of this event.
 
Manufacturer Narrative
The perforator product reported involved with this event was not returned for evaluation.A device history review (dhr) review was not possible in this event as the lot number was reported as unknown.Without the perforator involved with this event the reported failure of failure to disengage could not be confirmed.
 
Event Description
It was reported that during a cranial procedure, the perforator bit did not stop.It was also reported that the surgeon noticed immediately that the perforator bit didn¿t stop turning there was no adverse consequences as a result of this event.
 
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Brand Name
ZYPHR DISPOSABLE CRANIAL PERFORATOR, LARGE 14/11MM
Type of Device
DRILLS, BURRS, TREPHINES & ACCESSORIES
Manufacturer (Section D)
STRYKER INSTRUMENTS-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
Manufacturer (Section G)
STRYKER INSTRUMENTS-IRELAND
instruments division
carrigtwohill bus. & tech park
carrigtwohill NA
Manufacturer Contact
una barry
instruments division
carrigtwohill bus. & tech park
carrigtwohill NA
214532900
MDR Report Key6172736
MDR Text Key62318965
Report Number0001811755-2016-02843
Device Sequence Number1
Product Code HBF
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K082010
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type user facility
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 08/25/2017
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number5100060001
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 11/16/2016
Initial Date FDA Received12/13/2016
Supplement Dates Manufacturer Received08/23/2017
Supplement Dates FDA Received08/25/2017
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Treatment
5400210060, SN (B)(4); 5407200000, SN (B)(4)
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