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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ENDOSCOPY-SAN JOSE PKG., ASSY., STRYKEFLOW 2 WITH TIP; APPARATUS, SUCTION, OPERATING-ROOM, WALL VACUUM POWERED

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STRYKER ENDOSCOPY-SAN JOSE PKG., ASSY., STRYKEFLOW 2 WITH TIP; APPARATUS, SUCTION, OPERATING-ROOM, WALL VACUUM POWERED Back to Search Results
Catalog Number 0250070520
Device Problems Sparking (2595); Insufficient Information (3190)
Patient Problems Insufficient Information (4580); No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/16/2021
Event Type  malfunction  
Manufacturer Narrative
Additional information will be provided once the investigation has been completed.
 
Event Description
It was reported that there was a thermal event.
 
Manufacturer Narrative
Alleged failure: midway through the case, the surgical staff noticed a burning smell and thought it was coming from the surgical suction.They replaced the neptune in the room but noticed the smell was coming from the suction irrigator unit when changing out the fluid.Salesforce case number (b)(4).The failure(s) identified in the investigation is consistent with the complaint record.The root cause was fluid ingress causing a short inside of the motor.The product was returned for investigation and the failure mode will be monitored for future reoccurrence.
 
Event Description
It was reported that there was a thermal event.
 
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Brand Name
PKG., ASSY., STRYKEFLOW 2 WITH TIP
Type of Device
APPARATUS, SUCTION, OPERATING-ROOM, WALL VACUUM POWERED
Manufacturer (Section D)
STRYKER ENDOSCOPY-SAN JOSE
5900 optical court
san jose CA 95138
MDR Report Key12333906
MDR Text Key268376188
Report Number0002936485-2021-00432
Device Sequence Number1
Product Code GCX
UDI-Device Identifier37613327061360
UDI-Public37613327061360
Combination Product (y/n)N
PMA/PMN Number
K954726
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative
Type of Report Initial,Followup
Report Date 10/03/2021
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
Device Operator Health Professional
Device Catalogue Number0250070520
Device Lot Number21140FG2
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/21/2021
Initial Date Manufacturer Received 07/19/2021
Initial Date FDA Received08/17/2021
Supplement Dates Manufacturer Received07/19/2021
Supplement Dates FDA Received10/03/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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