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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP CORE, MAESTRO DRILL; MOTOR, DRILL, PNEUMATIC

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP CORE, MAESTRO DRILL; MOTOR, DRILL, PNEUMATIC Back to Search Results
Model Number 5400200000
Medical Device Problem Code Overheating of Device (1437)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/31/2023
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Reported events.5 events were reported for this quarter.Product return status.4 devices were received.1 device investigation type has not yet been determined.Additional information.5 devices were not labeled for single-use.5 devices were not reprocessed or reused.
 
Event or Problem Description
This report summarizes 5 malfunction events in which the device reportedly overheated.3 events had no patient involvement; no patient impact.2 events had patient involvement; no patient impact.
 
Additional Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Supplemental rationale corrected data: h6, h10 5 previously reported events are included in this follow-up record.Product return status 4 devices were received.1 device was not available for evaluation.
 
Event or Problem Description
This report summarizes 5 malfunction events in which the device reportedly overheated.- 3 events had no patient involvement; no patient impact.- 2 events had patient involvement; no patient impact.
 
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Brand Name
CORE, MAESTRO DRILL
Common Device Name
MOTOR, DRILL, PNEUMATIC
Manufacturer (Section D)
STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP
1941 stryker way
portage MI 49002
Manufacturer (Section G)
STRYKER INSTRUMENTS-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
Manufacturer Contact
colette chung
1941 stryker way
portage, MI 49002
2693237700
MDR Report Key16807362
Report Number3015967359-2023-00914
Device Sequence Number3063852
Product Code HBB
UDI-Device Identifier04546540469113
UDI-Public04546540469113
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
Number of Events Summarized5
Summary Report (Y/N)Y
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 10/24/2023
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 Model Number5400200000
Device Catalogue Number5400200000
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 03/31/2023
Supplement Date Received by Manufacturer03/31/2023
Initial Report FDA Received Date04/25/2023
Supplement Report FDA Received Date10/24/2023
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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