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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP PRECISION (9.0 X 0.51 X 31.0MM); BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL.

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP PRECISION (9.0 X 0.51 X 31.0MM); BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL. Back to Search Results
Model Number 2296033125
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/23/2021
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
A follow up report will be filed once the quality investigation is complete.Device discarded.
 
Event or Problem Description
It was reported that during a surgical procedure, four blades broke at the mount.It was also reported that there were no adverse consequences and no delays as a result of this event.It was further reported that the procedure was completed successfully.This report is for the fourth blade that broke.
 
Event or Problem Description
It was reported that during a surgical procedure, four blades broke at the mount.It was also reported that there were no adverse consequences and no delays as a result of this event.It was further reported that the procedure was completed successfully.This report is for the fourth blade that broke.
 
Additional Manufacturer Narrative
H6: the quality investigation is complete.
 
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Brand Name
PRECISION (9.0 X 0.51 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 Key11688877
Report Number3015967359-2021-00441
Device Sequence Number3095810
Product Code GFA
UDI-Device Identifier04546540046987
UDI-Public04546540046987
Combination Product (Y/N)N
Initial Reporter StateOK
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source user facility
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 05/11/2021
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 Expiration Date05/01/2023
Device Model Number2296033125
Device Catalogue Number2296033125
Device Lot Number18142017
Was Device Available for Evaluation? No
Initial Date Received by Manufacturer 03/23/2021
Supplement Date Received by Manufacturer04/30/2021
Initial Report FDA Received Date04/19/2021
Supplement Report FDA Received Date05/11/2021
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
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