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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ENDOSCOPY-SAN JOSE ROUND BUR 6 FLUTE F-SERIES 4.0MM EACH - ORDER MULTIPLES OF 5; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL

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STRYKER ENDOSCOPY-SAN JOSE ROUND BUR 6 FLUTE F-SERIES 4.0MM EACH - ORDER MULTIPLES OF 5; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL Back to Search Results
Catalog Number 0375940000
Medical Device Problem Code Material Fragmentation (1261)
Health Effect - Clinical Code Foreign Body In Patient (2687)
Date of Event 02/10/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that during an acl reconstruction, a fraction of a burr tip fractured and remained inside the patient.During the patient's first postoperative visit an x-ray confirmed the fragment remained in the patient and a followup surgery was performed to remove the fragment.
 
Additional Manufacturer Narrative
Additional information will be provided once the investigation has been completed.
 
Event or Problem Description
It was reported that during an acl reconstruction, a fraction of a burr tip fractured and remained inside the patient.During the patient's first postoperative visit an x-ray confirmed the fragment remained in the patient and a follow-up surgery was performed to remove the fragment.
 
Additional Manufacturer Narrative
Three 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: burr tip fractured probable root cause: inadequate window profile inadequate welding process improper material strength material brittleness excessive force applied by the user.The reported failure mode will be monitored for future reoccurrence.
 
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Brand Name
ROUND BUR 6 FLUTE F-SERIES 4.0MM 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 Key24746562
Report Number0002936485-2026-00195
Device Sequence Number9101315
Product Code GFA
Combination Product (Y/N)N
Initial Reporter StateIL
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Device Explanted Year2026
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Nurse Practitioner
Type of Report Initial,Followup
Report Date (Section B) 07/01/2026
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 Number0375940000
Device Lot Number25216CE2
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 02/12/2026
Supplement Date Received by Manufacturer06/15/2026
Initial Report FDA Received Date03/31/2026
Supplement Report FDA Received Date07/01/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/04/2025
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
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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