| Brand Name | DRILL BIT AXSOS 3 NON-LOCKING, SHORT, Ø2.5 X 216MM |
| Common Device Name | INSTRUMENTAL, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT |
| Manufacturer (Section D) |
| STRYKER GMBH |
| bohnackerweg 1 |
| postfach |
| selzach 2545 |
| SZ 2545 |
|
| Manufacturer (Section G) |
| STRYKER GMBH |
| bohnackerweg 1 |
| postfach |
| selzach 2545 |
|
SZ
2545
|
|
| Manufacturer Contact |
|
dannielle
stap
|
| 325 corporate drive |
| mahwah, NJ 07430
|
|
2018315000
|
|
| MDR Report Key | 23068196 |
| Report Number | 0008031020-2025-01575 |
| Device Sequence Number | 9680635 |
| Product Code |
HWE
|
| UDI-Device Identifier | 07613327083439 |
| UDI-Public | 07613327083439 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | JA |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/16/2025 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | 705025S |
| Device Lot Number | UNKNOWN |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Initial |
| Initial Date Received by Manufacturer | 08/21/2025 |
| Initial Report FDA Received Date | 09/16/2025 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| 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 Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Age | 30 YR |
| Patient Sex | Male |
|
|