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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ENDOSCOPY-SAN JOSE COBRA SUTURE PASSER, CAPTURE; ACCESSORIES, ARTHROSCOPIC

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STRYKER ENDOSCOPY-SAN JOSE COBRA SUTURE PASSER, CAPTURE; ACCESSORIES, ARTHROSCOPIC Back to Search Results
Catalog Number 3910-900-093
Device Problems Failure to Advance (2524); Material Deformation (2976)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 03/09/2023
Event Type  malfunction  
Event Description
Per investigation results, the needle was bent resulting in that the needle became bent while the device was in use.
 
Manufacturer Narrative
Additional information will be provided once the investigation has been completed.The device manufacturer date is not known at this time.However, should it become available it will be provided in future reports.
 
Manufacturer Narrative
This complaint investigation was closed based on the device not received, therefore the reported failure mode was not confirmed.In the event that the device is received, the complaint will be reopened and the investigation will be updated with new results.Alleged failure: needle/suture cannot be passed through.Probable root cause: design: inadequate raw material selection.Tip geometry not designed to facilitate soft tissue penetration.Needle not designed to withstand multiple usages/reprocessing cycles process.Instrument not manufactured / serviced to specification application.Attempt to use the device with broken or bent needle.Attempt to pass through thick tissue or bone.Excessive tissue loaded into jaws.Lack of due care when inserting instrument into soft tissue.Use of excessive force.Attempt to load or pass incompatible suture.Technique error.Improper reprocessing cycles/agents used; reprocessing instructions not followed.The reported failure mode will be monitored for future reoccurrence.*note: the investigation was previously closed based on product not received; however, the product has now been physically received at stryker endoscopy, usa and the investigation has been re-opened.Investigation as follows is now based on product received.Alleged failure: the instruments had a problem with the needle when passing the suture thread.The failure(s) identified in the investigation is consistent with the complaint record.The probable root causes could be: 1) attempt to use the device with bent needle, 2) use of excessive force, 3) attempt to pass through thick tissue or bone, 4) excessive tissue loaded into jaws, 5) attempt to load or pass incompatible suture, 6) technique error.The product was returned for investigation and the failure mode will be monitored for future reoccurrence.Manufacture date is not known.
 
Event Description
Per investigation results, the needle was bent resulting in that the needle became bent while the device was in use.
 
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Brand Name
COBRA SUTURE PASSER, CAPTURE
Type of Device
ACCESSORIES, ARTHROSCOPIC
Manufacturer (Section D)
STRYKER ENDOSCOPY-SAN JOSE
5900 optical court
san jose CA 95138
Manufacturer (Section G)
STRYKER ENDOSCOPY-SAN JOSE
5900 optical court
san jose CA 95138
Manufacturer Contact
lucas wolski
5900 optical court
san jose, CA 95138
4087542000
MDR Report Key17409818
MDR Text Key319924233
Report Number0002936485-2023-00729
Device Sequence Number1
Product Code NBH
Combination Product (y/n)N
Reporter Country CodeBR
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Distributor
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 02/26/2024
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 Number3910-900-093
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer06/22/2023
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 06/28/2023
Initial Date FDA Received07/27/2023
Supplement Dates Manufacturer Received06/28/2023
Supplement Dates FDA Received02/26/2024
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient SexMale
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