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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDIVATORS INC. DSD EDGE ENDOSCOPE REPROCESSING SYSTEM

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MEDIVATORS INC. DSD EDGE ENDOSCOPE REPROCESSING SYSTEM Back to Search Results
Model Number DSD EDGE 120V
Medical Device Problem Code Smoking (1585)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/11/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
A steris service technician arrived onsite following the reported event to inspect the unit and found that the air tank adapter was damaged, which caused an air leak.This caused the air compressor to stall, subsequently causing the reported event.To resolve the issue, the technician installed a new adapter.The unit was tested, confirmed to be operating according to specification and returned to service.No additional issues have been reported.
 
Event or Problem Description
The user facility reported that their dsd edge endoscope reprocessing system was smoking and emitting a "burning smell".No report of injury.
 
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Brand Name
DSD EDGE ENDOSCOPE REPROCESSING SYSTEM
Common Device Name
ENDOSCOPE REPROCESSING SYSTEM
Manufacturer (Section D)
MEDIVATORS INC.
14605 28th ave n
minneapolis MN 55447
Manufacturer (Section G)
MEDIVATORS INC.
14605 28th ave n
minneapolis MN 55447
Manufacturer Contact
daniel davy
5960 heisley road
mentor, OH 44060
4402597401
MDR Report Key24597492
Report Number2150060-2026-00009
Device Sequence Number9499870
Product Code FEB
UDI-Device Identifier00677964046674
UDI-Public(01)00677964046674(11)190206
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
K092387
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source User Facility
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 03/13/2026
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 Model NumberDSD EDGE 120V
Device Catalogue NumberDSD3008
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/11/2026
Initial Report FDA Received Date03/13/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/06/2019
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 Reuse
Patient Sequence Number1
Patient SexUnknown
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