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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDIVATORS INC. ADVANTAGE PLUS ENDOSCOPE REPROCESSING SYSTEM

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MEDIVATORS INC. ADVANTAGE PLUS ENDOSCOPE REPROCESSING SYSTEM Back to Search Results
Model Number 1-2-510.003
Medical Device Problem Code Use of Device Problem (1670)
Health Effect - Clinical Code Laceration(s) (1946)
Date of Event 02/20/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
A steris service technician arrived onsite following the reported event to inspect the unit and found no issues with the function or operation of the unit.The unit was tested, confirmed to be operating according to specification, and returned to service.While onsite the technician learned that the employee subject of the reported event did not move their hand out of the way of the lid when the cycle was about to begin, subsequently causing the reported event.The technician counseled user facility personnel on the proper use and operation of the advantage plus endoscope reprocessing system.No additional issues have been reported.
 
Event or Problem Description
The user facility reported that the lid to their advantage plus endoscope reprocessing system closed on an employee's hand causing a small cut.Medical treatment was sought and administered (bandage).
 
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Brand Name
ADVANTAGE PLUS ENDOSCOPE REPROCESSING SYSTEM
Common Device Name
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 Key24630939
Report Number2150060-2026-00012
Device Sequence Number15744299
Product Code FEB
UDI-Device Identifier00677964044755
UDI-Public(01)00677964044755(11)240514
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
PMA/510(K) Number
K102996
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source User Facility
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 03/18/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Operator of Device Health Professional
Device Model Number1-2-510.003
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 02/20/2026
Initial Report FDA Received Date03/18/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured05/14/2024
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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