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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ENDOSCOPY-SAN JOSE SDC3 BASE SYSTEM; LAPAROSCOPE, GENERAL & PLASTIC SURGERY

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STRYKER ENDOSCOPY-SAN JOSE SDC3 BASE SYSTEM; LAPAROSCOPE, GENERAL & PLASTIC SURGERY Back to Search Results
Catalog Number 0240060100
Medical Device Problem Codes Device Emits Odor (1425); Temperature Problem (3022)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/22/2024
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that there was a thermal event.
 
Additional Manufacturer Narrative
Alleged failure:, rep.Electrical/ mechanical burning smell when turned on [update - it did not become hot and nobody was burned or injured by the device.As soon as the or noticed the smell, they closed the or until we were able to get the fix in.] the failure alleged in the complaint record was not confirmed/duplicated during the product investigation.The probable root cause/s could be the dust build-up on the cpu heatsink.The product was returned for investigation and the failure mode will be monitored for future reoccurrence.
 
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Brand Name
SDC3 BASE SYSTEM
Common Device Name
LAPAROSCOPE, GENERAL & PLASTIC SURGERY
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
benjamin ly
5900 optical court
san jose, CA 95138
4087542000
MDR Report Key18707246
Report Number0002936485-2024-00129
Device Sequence Number7271084
Product Code GCJ
UDI-Device Identifier07613327056150
UDI-Public07613327056150
Combination Product (Y/N)N
Initial Reporter StateWI
Initial Reporter CountryUS
PMA/510(K) Number
K160332
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 02/14/2024
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
Operator of Device Health Professional
Device Catalogue Number0240060100
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/26/2024
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 01/22/2024
Initial Report FDA Received Date02/14/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured07/01/2016
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 Reuse
Patient Sequence Number1
Patient SexUnknown
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