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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ENDOSCOPY-SAN JOSE FLUIDSMART FLUID MANAGEMENT SYSTEM; INSUFFLATOR, HYSTEROSCOPIC

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STRYKER ENDOSCOPY-SAN JOSE FLUIDSMART FLUID MANAGEMENT SYSTEM; INSUFFLATOR, HYSTEROSCOPIC Back to Search Results
Catalog Number P2000
Medical Device Problem Code Increase in Pressure (1491)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/13/2024
Type of Reportable Event Malfunction
Additional 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.
 
Event or Problem Description
It was reported that there was overpressure during procedure.
 
Event or Problem Description
It was reported that there was overpressure during procedure.
 
Additional 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: too much pressure during a case probable root cause: incorrect procedure selection, or insufficient fluid pressure or flow, compromising visibility the reported failure mode will be monitored for future reoccurrence.
 
Event or Problem Description
It was reported that there was overpressure during procedure.
 
Additional Manufacturer Narrative
The product was received at stryker endoscopy, usa.The investigation is as follows.Alleged failure: over pressure.The failure identified in the investigation is inconsistent with the alleged failure.Probable root cause: device was tested on the ureteroscopy procedure with pressure set to the 300mmhg set point limit.Eqp-0342 pressure gauge confirmed the pressure output from the device was within the set point pressure setting displayed on the device.Reviewing the event logs exported from the device had no confirmation of the device being used when the alleged failure occurred.Last shown use was on (b)(6) 2025.Zero pressure sensor and over temperature alarms were present in the event logs.Probable root cause is device presented an over pressure alarm due to cartridge removed while under pressure."a new cartridge must be installed in device.If a procedure has been started, use the end procedure button to return to setup screens, then press error message to dismiss.Proceed through screens to re-prime new cartridge." the reported failure mode will be monitored for future reoccurrence.
 
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Brand Name
FLUIDSMART FLUID MANAGEMENT SYSTEM
Common Device Name
INSUFFLATOR, HYSTEROSCOPIC
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
andy dobos
5900 optical court
san jose, CA 95138
4087542000
MDR Report Key21130826
Report Number3007495879-2025-00001
Device Sequence Number7582641
Product Code HIG
UDI-Device Identifier00860936000310
UDI-Public00860936000310
Combination Product (Y/N)N
Initial Reporter StateNY
Initial Reporter CountryUS
PMA/510(K) Number
K091939
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup,Followup
Report Date (Section B) 10/14/2025
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 NumberP2000
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 12/13/2024
Supplement Date Received by Manufacturer03/10/2025
09/26/2025
Initial Report FDA Received Date01/10/2025
Supplement Report FDA Received Date04/08/2025
10/15/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
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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