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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ENDOSCOPY-SAN JOSE BARREL BUR 6 FLUTE F-SERIES 5.0MM EACH - ORDER MULTIPLES OF 5; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL

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STRYKER ENDOSCOPY-SAN JOSE BARREL BUR 6 FLUTE F-SERIES 5.0MM EACH - ORDER MULTIPLES OF 5; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL Back to Search Results
Catalog Number 0375951100
Medical Device Problem Code Material Fragmentation (1261)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/16/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during use of the milling attachment and there was very rapid breakage of the tip.All parts have been successfully removed from the patient.No impact on the patient.
 
Additional Manufacturer Narrative
Additional information will be provided once the investigation has been completed.
 
Additional Manufacturer Narrative
Multiple attempts have been made to retrieve the device for evaluation, and it is yet to be received in-house.This complaint investigation was closed based on the device not received, therefore the reported failure mode was not confirmed.In the event that the device is received, the complaint will be reopened and the investigation will be updated with new results.Alleged failure: tip breaking.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.
 
Event or Problem Description
It was reported that during use of the milling attachment and there was very rapid breakage of the tip.All parts have been successfully removed from the patient.No impact on the patient.
 
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Brand Name
BARREL BUR 6 FLUTE F-SERIES 5.0MM EACH - ORDER MULTIPLES OF 5
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 Key23305388
Report Number0002936485-2025-00841
Device Sequence Number4787005
Product Code GFA
UDI-Device Identifier37613327054850
UDI-Public37613327054850
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other
Initial Reporter Occupation Other
Type of Report Initial,Followup,Followup
Report Date (Section B) 05/12/2026
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
Operator of Device Health Professional
Device Catalogue Number0375951100
Device Lot Number24262CE2
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 09/16/2025
Supplement Date Received by Manufacturer12/10/2025
04/16/2026
Initial Report FDA Received Date10/15/2025
Supplement Report FDA Received Date01/05/2026
05/12/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/18/2024
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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