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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 Leak/Splash (1354)
Health Effect - Clinical Code Chemical Exposure (2570)
Date of Event 03/24/2026
Type of Reportable Event Malfunction
Event or Problem Description
The user facility reported that their advantage plus endoscope reprocessing system leaked water and disinfectant.Employees that were exposed to the disinfectant fumes sought medical treatment at the user facility emergency department; however, it is unknown what medical treatment was administered.
 
Additional Manufacturer Narrative
A steris service technician arrived onsite following the reported event and found that the plastic adaptor fitting was damaged.As the adaptor fitting, that is used for units tubing connection, was damaged, this allowed water and disinfectant to leak from the unit and for the reported event to occur.The technician replaced the adaptor fitting, tested the unit, confirmed it to be operating according to specification, and returned it to service.No additional issues have been reported.
 
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Brand Name
ADVANTAGE PLUS 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 Key24964813
Report Number2150060-2026-00017
Device Sequence Number18757940
Product Code FEB
UDI-Device Identifier00677964044755
UDI-Public(01)00677964044755(11)231228
Combination Product (Y/N)N
Initial Reporter CountryAS
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) 04/23/2026
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
Device Catalogue NumberADV2002
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 03/24/2026
Initial Report FDA Received Date04/23/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured12/28/2023
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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