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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Stryker Endoscopy-San Jose AGG. PLUS SHAVER BLADE F-SERIES 4.0MM EACH - ORDER MULTIPLES OF 5; blade, saw, general & plastic surgery, surgical

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Stryker Endoscopy-San Jose AGG. PLUS SHAVER BLADE F-SERIES 4.0MM EACH - ORDER MULTIPLES OF 5; blade, saw, general & plastic surgery, surgical Back to Search Results
Catalog Number 0375544000
Medical Device Problem Codes Break (1069); Material Fragmentation (1261)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/31/2026
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 shaver operation, the tip fractured and fell into the patient¿s shoulder joint cavity.The surgeon retrieved the broken fragments and removed them promptly.No missing parts of the cutter head were found after inspection, and a new device was used thereafter.This incident prolonged the operative duration.
 
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Brand Name
AGG. PLUS SHAVER BLADE 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
+1(408)754-2000
MDR Report Key25601879
Report Number0002936485-2026-00398
Device Sequence Number12145879
Product Code GFA
UDI-Device Identifier37613327061780
UDI-Public(01)37613327061780(17)300327(10)25087CE2
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician Assistant
Type of Report Initial,Followup
Report Date (Section B) 09/21/2026
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 Number0375544000
Device Lot Number25087CE2
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)Initial
Initial Date Received by Manufacturer 05/26/2026
Supplement Date Received by Manufacturer08/24/2026
Initial Report FDA Received Date06/23/2026
Supplement Report FDA Received Date09/21/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/28/2025
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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