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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER ENDOSCOPY-SAN JOSE PKG. DISPOSABLE STRYKEFLOW S I TIP; APPARATUS, SUCTION, OPERATING-ROOM, WALL VACUUM POWERED

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STRYKER ENDOSCOPY-SAN JOSE PKG. DISPOSABLE STRYKEFLOW S I TIP; APPARATUS, SUCTION, OPERATING-ROOM, WALL VACUUM POWERED Back to Search Results
Catalog Number 0250070505
Medical Device Problem Code Overheating of Device (1437)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/16/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the unit have been getting extremely hot and leaking during procedure.Therefore, there was a thermal event.
 
Additional Manufacturer Narrative
Additional information will be provided once the investigation has been completed.
 
Additional Manufacturer Narrative
This complaint investigation was closed based on the device not received as it was reported to have been discarded.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: hot.Probable root cause: material/design error, user error.The reported failure mode will be monitored for future reoccurrence.
 
Event or Problem Description
It was reported that the unit have been getting extremely hot and leaking during procedure.Therefore, there was a thermal event.
 
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Brand Name
PKG. DISPOSABLE STRYKEFLOW S I TIP
Common Device Name
APPARATUS, SUCTION, OPERATING-ROOM, WALL VACUUM POWERED
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 Key22205730
Report Number0002936485-2025-00540
Device Sequence Number6887818
Product Code GCX
UDI-Device Identifier37613327061407
UDI-Public37613327061407
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
EXEMPT
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) 11/07/2025
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 Number0250070505
Device Lot Number24286FG2
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 05/16/2025
Supplement Date Received by Manufacturer10/28/2025
Initial Report FDA Received Date06/13/2025
Supplement Report FDA Received Date11/07/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured10/12/2024
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)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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