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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP MICRO DRILL SERIES ANGLED ATTACHMENT; UNIT, OPERATIVE DENTAL

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP MICRO DRILL SERIES ANGLED ATTACHMENT; UNIT, OPERATIVE DENTAL Back to Search Results
Catalog Number 5100015252
Medical Device Problem Code Overheating of Device (1437)
Health Effect - Clinical Codes Burn(s) (1757); Insufficient Information (4580); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/30/2024
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: 5 events were reported for this quarter.Product return status: 1 device was received.4 device investigation types have 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.1 event had no patient involvement; no patient impact.4 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: 5 previously reported events are included in this follow-up record.Product return status: 2 devices were received.3 device investigation types have not yet been determined.
 
Event or Problem Description
This report summarizes 5 malfunction events in which the device reportedly overheated.1 event had no patient involvement: no patient impact.1 event had patient involvement: no patient impact.1 event had insufficient information received.2 events which had a mild injury, illness or impairment which can be treated with minimal or no intervention.
 
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: b5, h6, h11.5 previously reported events are included in this follow-up record.Product return status: 3 devices were received.2 device investigation types have not yet been determined.
 
Event or Problem Description
This report summarizes 5 malfunction events in which the device reportedly overheated.1 event had the problem identified during a non-clinical procedure; there was no patient involvement.2 events had patient involvement; no patient impact.2 events which had a mild injury, illness or impairment which can be treated with minimal or no intervention.
 
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, h11.5 previously reported events are included in this follow-up record.Product return status: 3 devices were received.2 devices were not available for evaluation.
 
Event or Problem Description
This report summarizes 5 malfunction events in which the device reportedly overheated.1 event had the problem identified during a non-clinical procedure; there was no patient involvement.2 events had patient involvement: no patient impact.2 events which had a mild injury, illness or impairment which can be treated with minimal or no intervention.
 
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Brand Name
MICRO DRILL SERIES ANGLED ATTACHMENT
Common Device Name
UNIT, OPERATIVE DENTAL
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 Key19823132
Report Number3015967359-2024-01515
Device Sequence Number8665660
Product Code EIA
UDI-Device Identifier04546540391803
UDI-Public04546540391803
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,Followup,Followup
Report Date (Section B) 04/21/2025
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 Number5100015252
Device Lot NumberVMSR
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 06/30/2024
Supplement Date Received by Manufacturer06/30/2024
06/30/2024
06/30/2024
Initial Report FDA Received Date07/24/2024
Supplement Report FDA Received Date10/25/2024
01/27/2025
04/21/2025
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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