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MAUDE Adverse Event Report: STRYKER GMBH; ORTHOPEDIC MANUAL SURGICAL INSTRUMENT
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STRYKER GMBH; ORTHOPEDIC MANUAL SURGICAL INSTRUMENT
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Model Number
2351-4218S
Health Effect - Clinical Code
Foreign Body In Patient (2687)
Date of Event
04/29/2025
Type of Reportable Event
Malfunction
Event or Problem Description
Surgical drill bit tip broke during surgery (right femur).Operating room team was unable to recover the drill bit tip.
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Brand Name
NA
Common Device Name
ORTHOPEDIC MANUAL SURGICAL INSTRUMENT
Manufacturer
(Section D)
STRYKER GMBH
325 corporate drive
mahwah NJ 07430
MDR Report Key
22001947
Report Number
22001947
Device Sequence Number
7267339
Product Code
LXH
UDI-Device Identifier
07613327350319
UDI-Public
(01)07613327350319(17)350228(10)K1156B9
Combination Product (Y/N)
N
Initial Reporter State
NC
Number of Events Summarized
1
Summary Report (Y/N)
N
Reporter Type
User Facility
Initial Reporter Occupation
Risk Manager
Type of Report
Initial
Report Date
(Section B)
05/06/2025
Report Date
(Section F)
05/06/2025
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 Model Number
2351-4218S
Device Catalogue Number
2351-4218S
Device Lot Number
K1156B9
Was Device Available for Evaluation?
No
Is the Reporter a Health Professional?
No
Was the Report Sent to FDA?
Yes
Event Location
Hospital
Date Report to Manufacturer
05/12/2025
Initial Date Received by Manufacturer
Not provided
Initial Report FDA Received Date
05/12/2025
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device
Unknown
Patient Sequence Number
1
Patient Age
39 YR
Patient Sex
Male
Date Report Sent to FDA
05/06/2025
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