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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER-ENDOSCOPY PHOENIX USA; CATHETER, RECORDING, ELECTRODE, REPROCESSED

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STRYKER-ENDOSCOPY PHOENIX USA; CATHETER, RECORDING, ELECTRODE, REPROCESSED Back to Search Results
Model Number 81104
Medical Device Problem Codes Use of Device Problem (1670); Mechanical Jam (2983)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/03/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that catheter had a warped curve.As reported, the device was replaced.There was no patient injury or medical intervention and extended procedure time reported was ten minutes.These are commonly used devices that are readily available.
 
Additional Manufacturer Narrative
The device was returned to stryker sustainability solutions for evaluation.Upon inspection of the received complaint device, the complaint device was returned to stryker with the catheter's curve deflection mechanism (and locking dial) engaged.Upon visual inspection of the received complaint device, no (further) relevant visible damage was observed.Due to the improper return, the device was considered to be ineligible for functional testing.The complaint device's curve mechanism was received engaged and in a locked position, likely stressing the catheter's internal wiring for the duration of its return to stryker (8 calendar days).As the complaint device was returned to stryker via improper shipping methods, the reported event experienced by the customer could not be confirmed as the manner of which the complaint device returned may adversely impact its functional testing and root cause analysis.A review of the dhr supports that the device met all inspection and test criteria prior to release from stryker.The reported event could be attributed to mishandling subsequent to distribution, including shipping and storage conditions or improper manipulation of the device.The instructions for use (ifu) state: do not attempt to use the reprocessed ep catheter prior to completely reading and understanding the directions for use.Do not alter this device.Inspect the packaging and catheter for damage or defects prior to use.Avoid excessive torque, stretching, kinking and/or bending of catheter, as this may interfere with distal tip shaping or cause damage to internal electrode wires.Avoid manual pre-bending of distal curve, as this may damage steering mechanism of steerable catheters.Handle catheter with care to avoid improper electrical functioning.Avoid excessive contact of handpiece with fluids, as this could adversely affect the electrical performance of the catheter.The reported event will continue to be monitored through post-market surveillance.
 
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Brand Name
NA
Common Device Name
CATHETER, RECORDING, ELECTRODE, REPROCESSED
Manufacturer (Section D)
STRYKER-ENDOSCOPY PHOENIX USA
10232 s. 51st st.
phoenix AZ 85044
Manufacturer (Section G)
STRYKER-ENDOSCOPY PHOENIX USA
10232 s. 51st st.
phoenix AZ 85044
Manufacturer Contact
andy dobos
1810 w. drake drive
tempe, AZ 85283
8888883433
MDR Report Key21516173
Report Number0002090040-2025-00010
Device Sequence Number9560141
Product Code NLH
UDI-Device Identifier00885825009557
UDI-Public00885825009557
Combination Product (Y/N)N
Initial Reporter StateND
Initial Reporter CountryUS
PMA/510(K) Number
K112232
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 03/04/2025
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 Model Number81104
Device Catalogue Number81104
Device Lot Number5439971
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/12/2025
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 02/04/2025
Initial Report FDA Received Date03/04/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured11/12/2024
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
Yes
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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