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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP 3.2MM X 18.3MM METAL CUTTING HELIOCOIDAL RASP; DRILLS, BURRS, TREPHINES & ACCESSORIES

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP 3.2MM X 18.3MM METAL CUTTING HELIOCOIDAL RASP; DRILLS, BURRS, TREPHINES & ACCESSORIES Back to Search Results
Catalog Number 5120080030
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/09/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during a surgical procedure, it was noted that two rasps broke during the same procedure.It was also reported there were no delays, no adverse consequences and no medical intervention as a result of this event.It was further reported that the procedure was completed successfully.This malfunction report addresses one of the rasps which was reported to have broken.
 
Additional Manufacturer Narrative
H6: a follow up report will be filed once the quality investigation is complete.
 
Additional Manufacturer Narrative
H6: the quality investigation is complete.
 
Event or Problem Description
No new information.
 
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Brand Name
3.2MM X 18.3MM METAL CUTTING HELIOCOIDAL RASP
Common Device Name
DRILLS, BURRS, TREPHINES & ACCESSORIES
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
instruments division
carrigtwohill bus. & tech park
carrigtwohill NA
EI   NA
214532900
MDR Report Key21929089
Report Number3015967359-2025-00962
Device Sequence Number8742889
Product Code HBE
UDI-Device Identifier04546540078728
UDI-Public(01)04546540078728
Combination Product (Y/N)N
Initial Reporter StateKY
Initial Reporter CountryUS
PMA/510(K) Number
K143320
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 08/21/2025
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
Operator of Device Health Professional
Device Catalogue Number5120080030
Device Lot NumberUNKNOWN
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 04/09/2025
Supplement Date Received by Manufacturer07/31/2025
Initial Report FDA Received Date04/29/2025
Supplement Report FDA Received Date08/21/2025
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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