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

Catalog Number	5400210060
Medical Device Problem Code	Overheating of Device (1437)
Health Effect - Clinical Codes	Insufficient Information (4580); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	03/31/2024
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 29 events were reported for this quarter.Product return status 7 devices were received.19 devices were evaluated based on historical data analysis.3 device investigation types have not yet been determined.Additional information 29 devices were not labeled for single-use.29 devices were not reprocessed or reused.
Event or Problem Description
This report summarizes 29 malfunction events in which the device reportedly overheated.- 15 events had no patient involvement; no patient impact.- 11 events had patient involvement; no patient impact.- 3 events had insufficient information received.
Additional Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Supplemental rationale: 29 previously reported events are included in this follow-up record.Product return status: 7 devices were received.21 devices were evaluated based on historical data analysis.1 device investigation type has not yet been determined.
Event or Problem Description
This report summarizes 29 malfunction events in which the device reportedly overheated.16 events had no patient involvement; no patient impact.11 events had patient involvement; no patient impact.2 events had insufficient information received.
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, h11.29 previously reported events are included in this follow-up record.Product return status.8 devices were received.21 devices were evaluated based on historical data analysis.
Event or Problem Description
This report summarizes 29 malfunction events in which the device reportedly overheated.16 events had no patient involvement; no patient impact.11 events had patient involvement; no patient impact.2 events had insufficient information received.

• Brand Name: PERFORATOR CHUCK
• 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: kelsey barla ; 1941 stryker way; portage, MI 49002 ; 2693237700
• MDR Report Key: 19113389
• Report Number: 3015967359-2024-00800
• Device Sequence Number: 7141322
• Product Code: HBB
• UDI-Device Identifier: 04546540469229
• UDI-Public: 04546540469229
• Combination Product (Y/N): N
• Initial Reporter State: MI
• Initial Reporter Country: US
• Number of Events Summarized: 29
• Summary Report (Y/N): Y
• Reporter Type: Manufacturer
• Report Source: Company Representative
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup,Followup
• Report Date (Section B): 10/25/2024

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 Catalogue Number: 5400210060
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 03/31/2024
• Supplement Date Received by Manufacturer: 03/31/2024; 03/31/2024
• Initial Report FDA Received Date: 04/16/2024
• Supplement Report FDA Received Date: 07/27/2024; 10/25/2024
• 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 Number: 1
• Patient Sex: Unknown