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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO PRECISION THIN (9.0 X 0.38 X 31.0MM); BLADE, SAW, GENERAL & PLASTIC SURGERY,SURGICAL

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STRYKER INSTRUMENTS-KALAMAZOO PRECISION THIN (9.0 X 0.38 X 31.0MM); BLADE, SAW, GENERAL & PLASTIC SURGERY,SURGICAL Back to Search Results
Model Number 2296003125
Device Problem Fracture (1260)
Patient Problems No Patient Involvement (2645); No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/23/2020
Event Type  malfunction  
Manufacturer Narrative
A follow up report will be filed once the quality investigation is complete.Device was discarded.
 
Event Description
It was reported that after a surgical procedure, the blade broke inside the blade mount of the saw.It was also reported that this event did not occur during a surgical procedure and there was no delay or adverse consequences as a result of this event.
 
Manufacturer Narrative
H6: the quality investigation is complete.
 
Event Description
It was reported that after a surgical procedure, the blade broke inside the blade mount of the saw.It was also reported that this event did not occur during a surgical procedure and there was no delay or adverse consequences as a result of this event.
 
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Brand Name
PRECISION THIN (9.0 X 0.38 X 31.0MM)
Type of Device
BLADE, SAW, GENERAL & PLASTIC SURGERY,SURGICAL
Manufacturer (Section D)
STRYKER INSTRUMENTS-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
MDR Report Key10414596
MDR Text Key203154067
Report Number0001811755-2020-02176
Device Sequence Number1
Product Code GFA
UDI-Device Identifier04546540046529
UDI-Public04546540046529
Combination Product (y/n)N
PMA/PMN Number
UNKNOWN
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative
Type of Report Initial,Followup
Report Date 09/29/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/17/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number2296003125
Device Catalogue Number2296003125
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Date Manufacturer Received09/29/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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