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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Stryker Endoscopy-San Jose PKG CROSSFLOW CONSOLE; arthroscope

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Stryker Endoscopy-San Jose PKG CROSSFLOW CONSOLE; arthroscope Back to Search Results
Catalog Number 0450000000
Medical Device Problem Code Increase in Pressure (1491)
Health Effect - Clinical Code Swelling/ Edema (4577)
Date of Event 07/03/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that at the end of the shoulder arthroscopy procedure, the patient was flipped supine on the operating room table, and noticeable fluid swelling was observed on the patient's operative side neck and through his entire chest.It was then decided to transfer the patient to the icu until the airway swelling went down and could be safely extubated.The patient unable to be discharged as originally scheduled as they needed to be reintubated and sent to the icu.
 
Additional Manufacturer Narrative
Additional information will be provided once the investigation has been completed.
 
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Brand Name
PKG CROSSFLOW CONSOLE
Common Device Name
arthroscope
Manufacturer (Section D)
Stryker Endoscopy-San Jose
5900 optical court
san jose CA 95138
Manufacturer (Section G)
Stryker Endoscopy-San Jose
5900 optical court
san jose CA 95138
Manufacturer Contact
arsalan rizvi
5900 optical court
san jose, CA 95138
+1(408)754-2000
MDR Report Key50063461
Report Number0002936485-2026-00541
Device Sequence Number18419573
Product Code HRX
UDI-Device Identifier07613327058048
UDI-Public07613327058048
Combination Product (Y/N)N
Initial Reporter StateNH
Initial Reporter CountryUS
PMA/510(K) Number
K123441
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,Health Professional
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 07/28/2026
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 Catalogue Number0450000000
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Initial Date Received by Manufacturer 07/03/2026
Initial Report FDA Received Date07/28/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured07/01/2025
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
Outcome Attributed to Adverse Event Hospitalization; Other;
Patient SexUnknown
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