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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: COVIDIEN MANSFIELD TRUCLEAR; HYSTEROSCOPE (AND ACCESSORIES)

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COVIDIEN MANSFIELD TRUCLEAR; HYSTEROSCOPE (AND ACCESSORIES) Back to Search Results
Model Number 7209808
Medical Device Problem Codes Energy Output Problem (1431); Self-Activation or Keying (1557)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 10/01/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
D10 concomitant products: 7209808, 7209808 truclear control unit (serial#:(b)(6) medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
 
Event or Problem Description
It was reported that during testing, the right foot pedal was unresponsive.The engineer set up the unit with a handpiece and operated forwards/backwards and oscillate lock at different speeds, then kept the forward pedal pressed while moving the foot pedal cable and the handpiece suddenly sped up from 1000 to 2500 and would not stop.The unit had to be turned off to reset it.The issue occurred twice but was very intermittent.There were no error codes displayed.There was no patient involvement.
 
Additional Manufacturer Narrative
Additional information: d9, g3, h3, h6 h3 evaluation summary: medtronic conducted an investigation based upon all information received.The device was available for evaluation.Visual inspection noted that the chassis cover was bent at the corner and had missing paint.The unit passed all functional tests.The issue was resolved by replacing the chassis cover.It was reported that the right foot pedal was unresponsive.The reported issue could not be confirmed.The most likely cause could not be established from the information available.The evaluation detected an unreported condition: the chassis cover was bent at the corner and had missing paint.The most likely cause could not be established from the information available.The manufacturing records for each device are thoroughly reviewed prior to release to ensure that it meets all medtronic quality specifications.Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
 
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Brand Name
TRUCLEAR
Common Device Name
HYSTEROSCOPE (AND ACCESSORIES)
Manufacturer (Section D)
COVIDIEN MANSFIELD
15 hampshire street
mansfield MA 02048
Manufacturer (Section G)
COVIDIEN MANSFIELD
15 hampshire street
mansfield MA 02048
Manufacturer Contact
mike bocchino
8200 coral sea st ne
mounds view, MN 55112-4391
8006464633
MDR Report Key23348957
Report Number1282497-2025-00616
Device Sequence Number9470446
Product Code HIH
UDI-Device Identifier10884521749931
UDI-Public(01)10884521749931(17)230901
Combination Product (Y/N)N
Initial Reporter CountryUK
PMA/510(K) Number
K031787
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 02/25/2026
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 Expiration Date09/01/2023
Device Model Number7209808
Device Catalogue Number7209808
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 10/01/2025
Supplement Date Received by Manufacturer02/24/2026
Initial Report FDA Received Date10/21/2025
Supplement Report FDA Received Date02/25/2026
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 Unknown
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
SEE H11.
Patient SexUnknown
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