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U.S. Department of Health and Human Services

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

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STRYKER ENDOSCOPY-SAN JOSE RESECTOR SHAVER BLADE F-SERIES 5.0MM EACH - ORDER MULTIPLES OF 5; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL Back to Search Results
Catalog Number 0375552000
Medical Device Problem Code Device Contaminated During Manufacture or Shipping (2969)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/16/2025
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 during knee arthroscopy, a piece of black plastic was found in the tip of the knife.
 
Additional Manufacturer Narrative
Alleged failure: a piece of black plastic was found in the tip of the knife.The failure(s) identified in the investigation are consistent with the complaint record.The probable root cause(s) could be an inadequate cleaning process and/or uncontrolled environmental conditions.The product was returned for investigation, and the failure mode will be monitored for future recurrence.
 
Event or Problem Description
It was reported that during knee arthroscopy, a piece of black plastic was found in the tip of the knife.
 
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Brand Name
RESECTOR SHAVER BLADE 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 Key23306034
Report Number0002936485-2025-00844
Device Sequence Number4989410
Product Code GFA
UDI-Device Identifier37613327061957
UDI-Public37613327061957
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
Report Date (Section B) 12/30/2025
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 Number0375552000
Device Lot Number24337CE2
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 09/17/2025
Supplement Date Received by Manufacturer12/16/2025
Initial Report FDA Received Date10/15/2025
Supplement Report FDA Received Date12/30/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured12/02/2024
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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