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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DePuy Mitek LLC US CORDCUTTER *EA; Cutter, Surgical

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DePuy Mitek LLC US CORDCUTTER *EA; Cutter, Surgical Back to Search Results
Catalog Number 214646
Medical Device Problem Code Mechanical Jam (2983)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/16/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during an unspecified surgical procedure, during drilling with the gryphon 2.4mm drill bit device it was observed that the drill was not very sharp.It was reported that the surgeon continued with the same drill bit device, as there was no other option.It was reported that when the surgeon went to cut the suture with the cordcutter device, the cutter device kept jamming, and the surgeon continued with the same device as there was no other option.It was reported that there was no delay in the procedure due to the event.It was reported that there was no harm to the patient or the user.All available information has been disclosed.No additional information has been provided.This is report 1 of 2 for pc-(b)(4).
 
Additional Manufacturer Narrative
This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes, or its employees that the report constitutes an admission that the product, depuy synthes, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.H11 additional narrative: as of this date, the device has not been returned for evaluation; therefore, the reported condition cannot be confirmed and/or duplicated, and no conclusion can be drawn at this time.
 
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Common Device Name
Cutter, Surgical
Manufacturer (Section D)
DePuy Mitek LLC US
325 paramount drive
raynham MA 02767
Manufacturer Contact
elba bello
325 paramount drive
raynham, MA 02767
+1(908)386-3534
MDR Report Key50896810
Report Number1221934-2026-04347
Device Sequence Number10684687
Product Code FZT
UDI-Device Identifier10886705004270
UDI-Public(01)10886705004270(10)15B04
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
Exempt
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,User Facility,Company Representative
Type of Report Initial
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 Number214646
Device Lot Number15B04
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/16/2026
Initial Report FDA Received Date09/25/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured02/19/2015
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 Unknown
Patient Sequence Number1
Patient SexUnknown
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