MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP 7.5MM MULTI-FLUTE ROUND; DRILLS, BURRS, TREPHINES & ACCESSORIES

Model Number	5820110075
Medical Device Problem Code	Fracture (1260)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	06/30/2021
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 craniotomy procedure, the bur fractured before mounting it on the attachment.It was also reported that there was a delay of less than thirty minutes as a result of this event.It was further reported that there were no adverse consequences as a result of this event and the procedure was completed successfully using another bur.
Additional Manufacturer Narrative
H6: the quality investigation is complete.H3 other text: device not returned, photograph provided.
Event or Problem Description
It was reported that during a craniotomy procedure, the bur fractured before mounting it on the attachment.It was also reported that there was a delay of less than thirty minutes as a result of this event.It was further reported that there were no adverse consequences as a result of this event and the procedure was completed successfully using another bur.
Additional Manufacturer Narrative
H6: the quality investigation is complete.
Event or Problem Description
It was reported that during a craniotomy procedure, the bur fractured before mounting it on the attachment.It was also reported that there was a delay of less than thirty minutes as a result of this event.It was further reported that there were no adverse consequences as a result of this event and the procedure was completed successfully using another bur.

• Brand Name: 7.5MM MULTI-FLUTE ROUND
• Common Device Name: DRILLS, BURRS, TREPHINES & ACCESSORIES
• Manufacturer (Section D): STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP; 1941 stryker way; portage MI 49002
• Manufacturer (Section G): STRYKER INSTRUMENTS-IRELAND; instruments division; carrigtwohill bus. & tech park; carrigtwohill NA ; EI NA
• Manufacturer Contact: una barry ; instruments division; carrigtwohill bus. & tech park; carrigtwohill NA ; EI NA ; 214532900
• MDR Report Key: 12309100
• Report Number: 3015967359-2021-01788
• Device Sequence Number: 19624219
• Product Code: HBE
• UDI-Device Identifier: 07613327294705
• UDI-Public: 07613327294705
• Combination Product (Y/N): N
• Initial Reporter Country: CO
• PMA/510(K) Number: K143320
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Distributor
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup,Followup
• Report Date (Section B): 10/28/2022

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 Date: 10/01/2023
• Device Model Number: 5820110075
• Device Catalogue Number: 5820110075
• Device Lot Number: 20280017
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: No
• Initial Date Received by Manufacturer: 07/15/2021
• Supplement Date Received by Manufacturer: 10/27/2021; 10/28/2022
• Initial Report FDA Received Date: 08/11/2021
• Supplement Report FDA Received Date: 11/01/2021; 10/29/2022
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 10/06/2020
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Unknown