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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP PIN COLLET (2.0-3.2MM); INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP PIN COLLET (2.0-3.2MM); INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Catalog Number 4100125000
Medical Device Problem Code Material Disintegration (1177)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Reported events 7 events were reported for this quarter.Product return status 3 devices had investigation types that have not yet been determined.4 devices were received.Additional information 7 devices were not reprocessed or reused.
 
Event or Problem Description
This report summarizes 7 events for the failure: material disintegration.5 events had problem identified during non-clinical procedure; there was no patient involvement.1 event had insufficient information.1 event had no health consequences or impact.
 
Event or Problem Description
"this record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Events occurred between april 1 ¿ june 30, 2025.This report summarizes 6 events for the failure: material disintegration.- 5 events had problem identified during non-clinical procedure; there was no patient involvement.- 1 event had no health consequences or impact.".
 
Additional Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Mfr report # 3015967359-2025-99188.Supplemental rationale, corrected data: b5, h6, h11.6 previously reported events were included in this follow-up record.Product return status.3 devices were not available for evaluation.3 devices were received.Evaluation findings (results/components) 3 devices: no findings available / part/component/sub-assembly term not applicable 2 devices: no device problem found / part/component/sub-assembly term not applicable 1 device: wear problem / bearings product disposition 3 devices: product not received 3 devices: scrapped by stryker.
 
Event or Problem Description
This report summarizes 7 events for the failure: material disintegration.- 5 events had problem identified during non-clinical procedure; there was no patient involvement.- 1 event had insufficient information.- 1 event had no health consequences or impact.
 
Additional Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Mfr report # 3015967359-2025-99188.Supplemental rationale: corrected data: b5, h6, h11, 7 events were reported for this quarter.Product return status: 3 devices were not available for evaluation.3 devices were received.1 device investigation type has not yet been determined.Evaluation findings (results/components): 3 devices: no findings available / part/component/sub-assembly term not applicable.2 devices: no device problem found / part/component/sub-assembly term not applicable.1 device: results pending completion of investigation / part/component/sub-assembly term.Not applicable: 1 device: wear problem / bearings.Product disposition: 3 devices: product not received.3 devices: scrapped by stryker.1 device: product disposition is not yet determined.
 
Additional Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Mfr report # 3015967359-2025-99188.Supplemental rationale: corrected data: b5, h1, h6, h11.6 events were previously reported during the reporting quarter; however, - 1 event was reported in error.- 5 previously reported events are included in this follow-up record.Product return status: 3 devices were not available for evaluation.2 devices were received.Evaluation findings (results/components): 3 devices: no findings available / part/component/sub-assembly term not applicable.2 devices: no device problem found / part/component/sub-assembly term not applicable.Product disposition: 3 devices: product not received.2 devices: scrapped by stryker.
 
Event or Problem Description
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Events occurred between april 1 ¿ june 30 2025.This report summarizes 5 events for the failure: material disintegration.- 5 events had problem identified during non-clinical procedure; there was no patient involvement.
 
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Brand Name
PIN COLLET (2.0-3.2MM)
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-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
Manufacturer Contact
kelsey barla
1941 stryker way
portage, MI 49002
2693237700
MDR Report Key22647278
Report Number3015967359-2025-99188
Device Sequence Number12931138
Product Code HWE
UDI-Device Identifier04546540068163
UDI-Public04546540068163
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
Exemption NumberVMSR
Number of Events Summarized5
Summary Report (Y/N)Y
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup,Followup,Followup
Report Date (Section B) 01/29/2026
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 Number4100125000
Is the Reporter a Health Professional? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 06/30/2025
Supplement Date Received by Manufacturer06/30/2025
06/30/2025
06/30/2025
Initial Report FDA Received Date07/29/2025
Supplement Report FDA Received Date10/30/2025
10/31/2025
01/29/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
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
Patient SexUnknown
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