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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP ROCKER-SWITCH SMOKE EVAC PENCIL, COATED; ELECTROSURGICAL CUTTING AND COAGULATION DEVICE AND ACCESSORIES

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP ROCKER-SWITCH SMOKE EVAC PENCIL, COATED; ELECTROSURGICAL CUTTING AND COAGULATION DEVICE AND ACCESSORIES Back to Search Results
Catalog Number 0703047000
Medical Device Problem Code Unintended Power Up (1162)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/10/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during preparation, prior to a procedure, the bovie triggered an error on the generator, which was not immediately noted.The nurse believed the bovie may have activated on its own.The device was quickly disconnected.The procedure was completed successfully without a delay.No adverse consequences or injury were reported.
 
Additional Manufacturer Narrative
H6: a follow up report will be filed once the quality investigation is complete.
 
Additional Manufacturer Narrative
Correction: d9: device not returned for evaluation additional information: h6: the quality investigation is complete.
 
Event or Problem Description
No new information.
 
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Brand Name
ROCKER-SWITCH SMOKE EVAC PENCIL, COATED
Common Device Name
ELECTROSURGICAL CUTTING AND COAGULATION DEVICE AND ACCESSORIES
Manufacturer (Section D)
STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP
1941 stryker way
portage MI 49002
Manufacturer (Section G)
STRYKER INSTRUMENTS-IRELAND
instruments division
carrigtwohill bus. & tech park
carrigtwohill NA
EI   NA
Manufacturer Contact
kelsey barla
instruments division
carrigtwohill bus. & tech park
carrigtwohill NA
EI   NA
214532900
MDR Report Key21899771
Report Number3015967359-2025-00950
Device Sequence Number8795292
Product Code GEI
UDI-Device Identifier07613327117202
UDI-Public(01)07613327117202(17)250609(10)64262562R
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K143145
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) 06/06/2025
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 Number0703047000
Device Lot Number64262562R
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 04/10/2025
Supplement Date Received by Manufacturer06/05/2025
Initial Report FDA Received Date04/24/2025
Supplement Report FDA Received Date06/06/2025
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
Patient SexUnknown
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