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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ENDOSCOPY-SAN JOSE TOMCAT SHAVER BLADE F-SERIES 5.0MM EACH - ORDER MULTIPLES OF 5; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL

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STRYKER ENDOSCOPY-SAN JOSE TOMCAT SHAVER BLADE F-SERIES 5.0MM EACH - ORDER MULTIPLES OF 5; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL Back to Search Results
Catalog Number 0375555000
Medical Device Problem Code Overheating of Device (1437)
Health Effect - Clinical Code Burn(s) (1757)
Date of Event 10/24/2024
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during the use of the bur, a significant and unusual heating occurred at the rotation of the 2 parts, which resulted in a mild burn with no severity or impact on the patient that surgeon was able to manage.No reported additional medical intervention was required.
 
Additional Manufacturer Narrative
Additional information will be provided once the investigation has been completed.
 
Additional Manufacturer Narrative
Alleged failure: during the use of the bur, a significant and unusual heating occured at the rotation of the 2 parts the failure(s) identified in the investigation is consistent with the complaint record.The probable root cause could be excessive force applied by the user such as; (bending or prying, which may cause the arthroscopic shaver blades to bend or break).The blade came in contact with a hard object, causing damaging the teeth, and hitting the housing edges.The product was returned for investigation and the failure mode will be monitored for future reoccurrence.
 
Event or Problem Description
It was reported that during the use of the bur, a significant and unusual heating occurred at the rotation of the 2 parts, which resulted in a mild burn with no severity or impact on the patient that surgeon was able to manage.No reported additional medical intervention was required.
 
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Brand Name
TOMCAT SHAVER BLADE F-SERIES 5.0MM EACH - ORDER MULTIPLES OF 5
Common Device Name
BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL
Manufacturer (Section D)
STRYKER ENDOSCOPY-SAN JOSE
5900 optical court
san jose CA 95138
Manufacturer (Section G)
STRYKER ENDOSCOPY-SAN JOSE
5900 optical court
san jose CA 95138
Manufacturer Contact
lucas wolski
5900 optical court
san jose, CA 95138
4087542000
MDR Report Key20740817
Report Number0002936485-2024-00819
Device Sequence Number8483977
Product Code GFA
UDI-Device Identifier37613327061865
UDI-Public37613327061865
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 03/05/2025
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
Operator of Device Health Professional
Device Catalogue Number0375555000
Device Lot Number24178CE2
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 10/24/2024
Supplement Date Received by Manufacturer10/24/2024
Initial Report FDA Received Date11/20/2024
Supplement Report FDA Received Date03/05/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured06/26/2024
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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