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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER GMBH CANNULATED DRILL BIT & COUNTERSINK FIXOS Ø1,7MM / L12MM, AO; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT

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STRYKER GMBH CANNULATED DRILL BIT & COUNTERSINK FIXOS Ø1,7MM / L12MM, AO; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Catalog Number XFO051201
Device Problems Fracture (1260); Defective Device (2588); Material Deformation (2976)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 06/07/2019
Event Type  malfunction  
Manufacturer Narrative
Upon completion of investigation, additional information will be provided in a supplemental report.
 
Event Description
It has been reported by the customer that during the use of the drill, the tip opens and can not be used.
 
Manufacturer Narrative
The reported event could be confirmed.Visual inspection of the returned device revealed that the apex of the drill bit is broken into three pieces, which are bent away from the rotation axis.Based on investigation, the root cause was attributed to be user related.Most likely the k-wire was strongly bent while pulling out the rotating drill bit.The device history records have been reviewed carefully and no nonconformance was found.The drill bit was manufactured according to specifications.A review of the device history for the reported lot did not indicate any abnormalities.No corrective actions are required at this time.A review of the labeling did not indicate any abnormalities.No indications of material, manufacturing or design related problems were found during the investigation.If any further information is provided, the investigation report will be updated.
 
Event Description
It has been reported by the customer that during the use of the drill, the tip opens and can not be used.
 
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Brand Name
CANNULATED DRILL BIT & COUNTERSINK FIXOS Ø1,7MM / L12MM, AO
Type of Device
INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT
Manufacturer (Section D)
STRYKER GMBH
bohnackerweg 1
postfach
selzach 2545
CH  2545
MDR Report Key8739914
MDR Text Key149628447
Report Number0008031020-2019-00751
Device Sequence Number1
Product Code HWE
UDI-Device Identifier07613252265481
UDI-Public07613252265481
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type distributor
Type of Report Initial,Followup
Report Date 08/26/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/27/2019
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date06/30/2023
Device Catalogue NumberXFO051201
Device Lot Number12861Y
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/17/2019
Date Manufacturer Received07/30/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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