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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP 1.2MM STRAIGHT SIDE CUTTING ROUND END CARBIDE BUR MEDIUM; BUR, SURGICAL, GENERAL & PLASTIC SURGERY

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP 1.2MM STRAIGHT SIDE CUTTING ROUND END CARBIDE BUR MEDIUM; BUR, SURGICAL, GENERAL & PLASTIC SURGERY Back to Search Results
Catalog Number 5300010421
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/31/2024
Type of Reportable Event Malfunction
Event or Problem Description
This report summarizes 3 malfunction events in which the device or cutting accessory fractured.- 3 events had patient involvement; no patient impact.
 
Additional Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Reported events 3 events were reported for this quarter.Product return status 3 device investigation types have not yet been determined.Additional information 3 devices were labeled for single-use.3 devices were not reprocessed or reused.
 
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 3 previously reported events are included in this follow-up record.Product return status 3 devices were received.
 
Event or Problem Description
This report summarizes 3 malfunction events in which the device or cutting accessory fractured.- 3 events had patient involvement; no patient impact.
 
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Brand Name
1.2MM STRAIGHT SIDE CUTTING ROUND END CARBIDE BUR MEDIUM
Common Device Name
BUR, SURGICAL, GENERAL & PLASTIC SURGERY
Manufacturer (Section D)
STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP
1941 stryker way
portage MI 49002
Manufacturer (Section G)
STRYKER INSTRUMENTS-IRELAND
instruments division
carrigtwohill bus. & tech park
carrigtwohill NA
EI   NA
Manufacturer Contact
kelsey barla
1941 stryker way
portage, MI 49002
2693237700
MDR Report Key21207681
Report Number3015967359-2025-00339
Device Sequence Number20850971
Product Code GFF
UDI-Device Identifier07613153000297
UDI-Public07613153000297
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
Exemption NumberVMSR
Number of Events Summarized3
Summary Report (Y/N)Y
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 04/23/2025
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 Number5300010421
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 12/31/2024
Supplement Date Received by Manufacturer12/31/2024
Initial Report FDA Received Date01/22/2025
Supplement Report FDA Received Date04/23/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
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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