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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 Unintended Movement (3026)
Health Effect - Clinical Code Abrasion (1689)
Date of Event 04/14/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Investigation of the event is currently in progress.A follow-up report will be submitted when additional information becomes available.
 
Event or Problem Description
The user facility reported that while an employee was preparing to reprocess an endoscope, the door of their advantage plus endoscope reprocessing system contacted their hands.The employee experienced redness on their hands however, no medical treatment was sought or administered.
 
Additional Manufacturer Narrative
A steris service technician arrived on-site to inspect the unit.The reported event could not be duplicated.The unit was confirmed to be operating according to specification and returned to service.No repairs were made.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 Key25035470
Report Number2150060-2026-00018
Device Sequence Number10261343
Product Code FEB
UDI-Device Identifier00677964044755
UDI-Public(01)00677964044755(11)201023
Combination Product (Y/N)N
Initial Reporter CountryEN
PMA/510(K) Number
K102996
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,Followup
Report Date (Section B) 04/29/2026
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 NumberADV2006
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 04/14/2026
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date04/29/2026
Supplement Report FDA Received Date06/01/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured10/23/2020
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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