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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP REAMER; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP REAMER; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Catalog Number 4100231000
Medical Device Problem Code Unintended Ejection (1234)
Health Effect - Clinical Code Bone Fracture(s) (1870)
Date of Event 10/24/2024
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the pin went into the left nostril of the nurses face and fractured the right orbital floor during a case at the user facility.Attempts are being made to obtain additional information from the user facility.
 
Additional Manufacturer Narrative
Section d updated for catalog and device description h6: the quality investigation is complete.
 
Event or Problem Description
No new information.
 
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Brand Name
REAMER
Common Device Name
INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT
Manufacturer (Section D)
STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP
1941 stryker way
portage MI 49002
Manufacturer (Section G)
STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP
1941 stryker way
portage MI 49002
Manufacturer Contact
kelsey barla
1941 stryker way
portage, MI 49002
2693237700
MDR Report Key20686233
Report Number3015967359-2024-02333
Device Sequence Number7197048
Product Code HWE
UDI-Device Identifier04546540068224
UDI-Public(01)04546540068224
Combination Product (Y/N)N
Initial Reporter CountryFR
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Pharmacist
Type of Report Initial,Followup
Report Date (Section B) 12/16/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Catalogue Number4100231000
Device Lot Number1913413723
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 10/29/2024
Supplement Date Received by Manufacturer11/14/2025
Initial Report FDA Received Date11/14/2024
Supplement Report FDA Received Date12/16/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/14/2019
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
Concomitant Medical Products
and Therapy/Usage Dates
4505000000 AND SYSTEM 8 CORDLESS DRIVER
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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