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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-KALAMAZOO PRECISION THIN (9.0 X 0.38 X 25.0MM); BLADE, SAW, GENERAL & PLASTIC SURGERY,SURGICAL

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STRYKER INSTRUMENTS-KALAMAZOO PRECISION THIN (9.0 X 0.38 X 25.0MM); BLADE, SAW, GENERAL & PLASTIC SURGERY,SURGICAL Back to Search Results
Catalog Number 2296003111
Device Problems Material Discolored (1170); Contamination of Device Ingredient or Reagent (2901)
Patient Problems No Consequences Or Impact To Patient (2199); No Patient Involvement (2645)
Event Date 09/19/2019
Event Type  malfunction  
Manufacturer Narrative
A follow up report will be filed once the quality investigation is complete.Device received but awaiting evaluation results.
 
Event Description
It was reported that there was a potential sterility breach in the packaging of the device.It was also reported that this event did not occur during a surgical procedure, and there was no delay or adverse consequences as a result of this event.
 
Event Description
It was reported that there was a potential sterility breach in the packaging of the device.It was also reported that this event did not occur during a surgical procedure, and there was no delay or adverse consequences as a result of this event.
 
Manufacturer Narrative
The reported event, for rust/corrosion/tarnishing, was not confirmed based on the reported event that the blade was not used.On inspection of the returned blade the blade showed signs of being used.The blade was evaluated by product engineering who concluded that evidence such as the loading marks present on the top of the blade, material deposited between the teeth of the blade and the bend in the blade itself indicate that this complaint blade was operated in a handpiece and used to cut material.A review of the handpieces for use instructions for use(ifu) for use with this blade contains the following warning; "upon initial receipt and before each use, inspect each component for damage.Do not use any equipment if damage is apparent or the inspection criteria are not met.".
 
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Brand Name
PRECISION THIN (9.0 X 0.38 X 25.0MM)
Type of Device
BLADE, SAW, GENERAL & PLASTIC SURGERY,SURGICAL
Manufacturer (Section D)
STRYKER INSTRUMENTS-KALAMAZOO
4100 east milham avenue
kalamazoo MI 49001
MDR Report Key9203665
MDR Text Key162840503
Report Number0001811755-2019-03246
Device Sequence Number1
Product Code GFA
UDI-Device Identifier04546540046499
UDI-Public04546540046499
Combination Product (y/n)N
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type consumer
Type of Report Initial,Followup
Report Date 11/15/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/17/2019
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date07/01/2023
Device Catalogue Number2296003111
Device Lot Number18198017
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer10/16/2019
Date Manufacturer Received11/15/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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