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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Stryker Instruments-a division of Stryker Corp Smoke Evac. Pencil Coated RS,Non-Sterile; Electrosurgical cutting and coagulation device and accessories

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Stryker Instruments-a division of Stryker Corp Smoke Evac. Pencil Coated RS,Non-Sterile; Electrosurgical cutting and coagulation device and accessories Back to Search Results
Catalog Number 0703047002
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Burn(s) (1757)
Date of Event 07/01/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that during use in a procedure at the user facility, a patient sustained a burn while using a smoke evac pencil.It was further reported that the noted wound required medical intervention.The wound was closed by the surgeon.It was further reported that the procedure was completed successfully, without delay.
 
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Brand Name
Smoke Evac. Pencil Coated RS,Non-Sterile
Common Device Name
Electrosurgical cutting and coagulation device and accessories
Manufacturer (Section D)
Stryker Instruments-a division of Stryker Corp
1941 stryker way
portage MI 49002
Manufacturer (Section G)
Stryker Instruments-Ireland
instruments division
carrigtwohill bus. & tech park
carrigtwohill NA
EI   NA
Manufacturer Contact
kelsey barla
instruments division
carrigtwohill bus. & tech park
carrigtwohill NA
EI   NA
+353()214532900
MDR Report Key50201872
Report Number3015967359-2026-00455
Device Sequence Number10336959
Product Code GEI
UDI-Device Identifier07613327379471
Combination Product (Y/N)N
Initial Reporter StateIL
Initial Reporter CountryUS
PMA/510(K) Number
K143145
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Type of Report Initial
Report Date (Section B) 08/10/2026
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 Number0703047002
Device Lot Number86466334
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Received by Manufacturer 07/30/2026
Initial Report FDA Received Date08/11/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention;
Patient SexUnknown
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