| Brand Name | IMN INSTRUMENTS - FREEHAND DRILL D4.2X185MM |
| Common Device Name | INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT |
| Manufacturer (Section D) |
| Stryker GmbH |
| bohnackerweg 1 |
| postfach |
| selzach 2545 |
| SZ 2545 |
|
| Manufacturer (Section G) |
| Stryker Trauma GmbH |
| prof. kuentscher-strasse 1-5 |
|
| schoenkirchen/kiel D-242 32 |
|
GM
D-24232
|
|
| Manufacturer Contact |
|
dannielle
stap
|
| 325 corporate drive |
| mahwah, NJ 07430
|
|
+1(201)831-5000
|
|
| MDR Report Key | 25829732 |
| Report Number | 0008031020-2026-00856 |
| Device Sequence Number | 9814525 |
| Product Code |
HWE
|
| UDI-Device Identifier | 07613327566017 |
| UDI-Public | (01)07613327566017(11)260303(17)360229(10)K19D451 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Company Representative |
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/29/2026 |
| 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? |
No
|
| Operator of Device |
Lay User/Patient
|
| Device Catalogue Number | 23524218S |
| Device Lot Number | KL203 |
| 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 | 06/18/2026 |
| Supplement Date Received by Manufacturer | 08/31/2026
|
| Initial Report FDA Received Date | 07/15/2026 |
| Supplement Report FDA Received Date | 09/29/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 03/03/2026 |
| 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 Sex | Unknown |
|
|