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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP REMB ELECTRIC WIREDRIVER; DRILL, SURGICAL, ENT (ELECTRIC OR PNEUMATIC) INCLUDING HANDPIECE

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP REMB ELECTRIC WIREDRIVER; DRILL, SURGICAL, ENT (ELECTRIC OR PNEUMATIC) INCLUDING HANDPIECE Back to Search Results
Catalog Number 6400062000
Medical Device Problem Code Device Remains Activated (1525)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/29/2024
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the device would not stop when in reverse at the user facility during a case.The procedure was completed successfully without a surgical delay; no medical intervention or adverse consequences were reported.
 
Additional Manufacturer Narrative
Additional information: d9.
 
Event or Problem Description
It was reported that the device would not stop when in reverse at the user facility during a case.The procedure was completed successfully without a surgical delay; no medical intervention or adverse consequences were reported.
 
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Brand Name
REMB ELECTRIC WIREDRIVER
Common Device Name
DRILL, SURGICAL, ENT (ELECTRIC OR PNEUMATIC) INCLUDING HANDPIECE
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 Key19580825
Report Number3015967359-2024-01175
Device Sequence Number7317756
Product Code ERL
UDI-Device Identifier07613154945801
UDI-Public07613154945801
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K112593
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source User Facility
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 09/20/2024
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 Number6400062000
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 05/29/2024
Supplement Date Received by Manufacturer09/18/2024
Initial Report FDA Received Date06/21/2024
Supplement Report FDA Received Date09/20/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured06/02/2016
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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