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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP OPTABLATE 20MM PROBE DUAL KIT; GENERATOR, LESION, RADIOFREQUENCY

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP OPTABLATE 20MM PROBE DUAL KIT; GENERATOR, LESION, RADIOFREQUENCY Back to Search Results
Catalog Number 9700-020-200
Medical Device Problem Code No Apparent Adverse Event (3189)
Health Effect - Clinical Code Paralysis (1997)
Date of Event 02/20/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Full udi is not available due to missing serial number.
 
Event or Problem Description
It was reported that the patient was treated with a bone tumor ablation using an optablate device.Two weeks after the procedure the patient presented with foot drop.There was no allegation of a product malfunction.
 
Event or Problem Description
It was reported that the patient was treated with a bone tumor ablation using an optablate device.Two weeks after the procedure the patient presented with foot drop.There was no allegation of a product malfunction.
 
Additional Manufacturer Narrative
The device was not returned for evaluation; therefore, a root cause could not be determined for the event.
 
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Brand Name
OPTABLATE 20MM PROBE DUAL KIT
Common Device Name
GENERATOR, LESION, RADIOFREQUENCY
Manufacturer (Section D)
STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP
1941 stryker way
portage MI 49002
Manufacturer (Section G)
STRYKER INSTRUMENTS-FREIBURG
boetzingerstr. 41
freiburg D-791 11
GM   D-79111
Manufacturer Contact
kelsey barla
1941 stryker way
portage, MI 49002
2693237700
MDR Report Key21708212
Report Number3015967359-2025-00572
Device Sequence Number10011162
Product Code GEI
UDI-Device Identifier07613327524499
UDI-Public(01)07613327524499
Combination Product (Y/N)N
Initial Reporter StateAL
Initial Reporter CountryUS
PMA/510(K) Number
K221074
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
Report Date (Section B) 04/24/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Operator of Device Health Professional
Device Catalogue Number9700-020-200
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 03/07/2025
Supplement Date Received by Manufacturer04/11/2025
Initial Report FDA Received Date03/27/2025
Supplement Report FDA Received Date04/24/2025
Was Device Evaluated by Manufacturer? (Y/N) No
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)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Disability;
Patient SexUnknown
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