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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ENDOSCOPY-SAN JOSE AGG. PLUS SHAVER BLADE SMALL JOINT F-SERIES 3.5MM EACH - ORDER MULTIPLES; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL

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STRYKER ENDOSCOPY-SAN JOSE AGG. PLUS SHAVER BLADE SMALL JOINT F-SERIES 3.5MM EACH - ORDER MULTIPLES; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL Back to Search Results
Catalog Number 0375638000
Medical Device Problem Code Material Fragmentation (1261)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/30/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Additional information will be provided once the investigation has been completed.
 
Event or Problem Description
It was reported that that shaver tip broke off while in joint.The part was retrieved.
 
Event or Problem Description
It was reported that that shaver tip broke off while in joint.The part was retrieved.
 
Additional Manufacturer Narrative
Product was received in-house at stryker endoscopy and was lost or accidentally scrapped prior it to being investigated.Reportability decision was checked for consistency.Alleged failure: broken tip.Probable root cause: inadequate window profile, inadequate welding process, improper material strength, inadequate size selected for the application, material brittleness, excessive force applied by the user, incorrect rfid tag.The reported failure mode will be monitored for future reoccurrence.
 
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Brand Name
AGG. PLUS SHAVER BLADE SMALL JOINT F-SERIES 3.5MM EACH - ORDER MULTIPLES
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
arsalan rizvi
5900 optical court
san jose, CA 95138
4087542000
MDR Report Key22925145
Report Number0002936485-2025-00745
Device Sequence Number10230823
Product Code GFA
UDI-Device Identifier37613327061995
UDI-Public37613327061995
Combination Product (Y/N)N
Initial Reporter StateCO
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
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) 12/29/2025
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 Number0375638000
Device Lot Number25129CE2
Was Device Available for Evaluation? No
Date Returned to Manufacturer08/18/2025
Is the Reporter a Health Professional? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 08/01/2025
Supplement Date Received by Manufacturer12/01/2025
Initial Report FDA Received Date08/29/2025
Supplement Report FDA Received Date12/29/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/09/2025
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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