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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP OPTABLATE BVN PROBE SINGLE KIT; PROBE, RADIOFREQUENCY LESION

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STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP OPTABLATE BVN PROBE SINGLE KIT; PROBE, RADIOFREQUENCY LESION Back to Search Results
Catalog Number 9900-110-100
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code Foreign Body In Patient (2687)
Date of Event 12/18/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported the omnicurve peak sheath was left in the patient.There was no medical intervention, no adverse consequences and no clinically significant surgical delay.
 
Additional Manufacturer Narrative
Full udi is not available due to missing lot number.
 
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Brand Name
OPTABLATE BVN PROBE SINGLE KIT
Common Device Name
PROBE, RADIOFREQUENCY LESION
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 Key24070028
Report Number3015967359-2026-00030
Device Sequence Number21429069
Product Code GXI
UDI-Device Identifier07613327601121
UDI-Public(01)07613327601121
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
PMA/510(K) Number
K250213
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 01/14/2026
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 Catalogue Number9900-110-100
Was Device Available for Evaluation? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 12/18/2025
Initial Report FDA Received Date01/14/2026
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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