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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER-ENDOSCOPY LAKELAND 5300; ELECTROSURGICAL, CUTTING & COAGULATION ACCESSORIES, LAPAROSCOPIC & ENDOSCOPIC,

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STRYKER-ENDOSCOPY LAKELAND 5300; ELECTROSURGICAL, CUTTING & COAGULATION ACCESSORIES, LAPAROSCOPIC & ENDOSCOPIC, Back to Search Results
Model Number LF4418
Medical Device Problem Codes Use of Device Problem (1670); Device Dislodged or Dislocated (2923); Material Protrusion/Extrusion (2979)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/26/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Additional information will be provided once the investigation has been completed.
 
Event or Problem Description
It was reported the ligasure broke in the or.It was only used once before (blade warped and jammed, won't even retract at this point).Replaced with duplicate reprocessed handpiece.There was no patient injury or medical intervention and extended procedure time reported was 5 minutes or less, backup units kept on tower so right at hand.These are commonly used devices that are readily available.
 
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Brand Name
NA
Common Device Name
ELECTROSURGICAL, CUTTING & COAGULATION ACCESSORIES, LAPAROSCOPIC & ENDOSCOPIC,
Manufacturer (Section D)
STRYKER-ENDOSCOPY LAKELAND 5300
5300 region ct
lakeland FL 33815
Manufacturer (Section G)
STRYKER-ENDOSCOPY LAKELAND 5300
5300 region ct
lakeland FL 33815
Manufacturer Contact
arsalan rizvi
1810 w. drake drive
tempe, AZ 85283
8888883433
MDR Report Key24795513
Report Number0001056128-2026-00022
Device Sequence Number18621588
Product Code NUJ
UDI-Device Identifier07613327417845
UDI-Public07613327417845
Combination Product (Y/N)N
Initial Reporter StateCO
Initial Reporter CountryUS
PMA/510(K) Number
K180451
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 06/19/2026
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 NumberLF4418
Device Catalogue NumberLF4418
Device Lot Number17319316
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 03/09/2026
Supplement Date Received by Manufacturer05/22/2026
Initial Report FDA Received Date04/06/2026
Supplement Report FDA Received Date06/19/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured11/24/2025
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)
Yes
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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