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U.S. Department of Health and Human Services

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

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP PRECISION THIN (9.0 X 0.38 X 31.0MM); BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL Back to Search Results
Model Number 2296003125
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/08/2021
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
A follow up report will be filed once the quality investigation is complete.Awaiting device return.
 
Event or Problem Description
It was reported that during a surgical procedure when cutting the fibula, the motor did not drive the blade and the blade broke.It was also reported that there were no adverse consequences as a result of this event.
 
Additional Manufacturer Narrative
H6: the quality investigation is complete.
 
Event or Problem Description
It was reported that during a surgical procedure when cutting the fibula, the motor did not drive the blade and the blade broke.It was also reported that there were no adverse consequences as a result of this event.
 
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Brand Name
PRECISION THIN (9.0 X 0.38 X 31.0MM)
Common Device Name
BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL
Manufacturer (Section D)
STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP
1941 stryker way
portage MI 49002
MDR Report Key11288969
Report Number0001811755-2021-00501
Device Sequence Number3845759
Product Code GFA
UDI-Device Identifier04546540046529
UDI-Public04546540046529
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source health professional
Initial Reporter Occupation Biomedical Engineer
Type of Report Initial,Followup
Report Date (Section B) 03/09/2021
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
Operator of Device Health Professional
Device Model Number2296003125
Device Catalogue Number2296003125
Was Device Available for Evaluation? Yes
Initial Date Received by Manufacturer 01/11/2021
Supplement Date Received by Manufacturer03/05/2021
Initial Report FDA Received Date02/05/2021
Supplement Report FDA Received Date03/09/2021
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
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