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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DePuy Mitek LLC US VAPR VUE; Electrosurgical, Cutting & Coagulation & Accessories

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DePuy Mitek LLC US VAPR VUE; Electrosurgical, Cutting & Coagulation & Accessories Back to Search Results
Catalog Number 227214
Medical Device Problem Codes Material Fragmentation (1261); Use of Device Problem (1670)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/01/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes, or its employees that the report constitutes an admission that the product, depuy synthes, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.H11: additional narrative: investigation summary: a photo was provided for evaluation.¿ visual inspection of the returned photo found no observations pertaining to the nature of the reported event or any other anomaly.The complaint device was received at the service center and evaluated.During the service evaluation the following defects were identified: broken (2+ pieces) : chipped/shaved/delaminated and functional : pairing failure.Per service reports, this complaint was confirmed.Based on the investigation findings, the potential root cause is traced to improper maintenance.It has been determined that no corrective and/or preventative action is proposed and there is no indication that a design or manufacturing issue has caused the reported complaint condition.As part of depuy synthes quality process, all devices are manufactured, inspected, and released to approved specifications.Additional monitoring for any potential safety signals will be conducted through complaint trending and other post-market safety surveillance activities.
 
Event or Problem Description
It was reported that during in-house engineering evaluation, it was determined that the vapr vue wireless footswitch device was chipped/shaved/delaminated.It was initially reported that preoperatively to an unknown procedure, it was observed that the wireless foot pedal was not working properly.It was reported that there were no delays in the surgical procedure.The procedure was completed successfully.There were no reports of injuries, medical intervention or prolonged hospitalization.The exact date of the event was unknown.However, it was reported that the event occurred in 2026.All available information has been disclosed.
 
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Brand Name
VAPR VUE
Common Device Name
Electrosurgical, Cutting & Coagulation & Accessories
Manufacturer (Section D)
DePuy Mitek LLC US
325 paramount drive
raynham MA 02767
Manufacturer Contact
elba bello
325 paramount drive
raynham, MA 02767
+1(908)386-3534
MDR Report Key50721121
Report Number1221934-2026-04077
Device Sequence Number10159536
Product Code GEI
UDI-Device Identifier10886705009657
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K100638
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source User Facility,Company Representative
Type of Report Initial
Report Date (Section B) 09/10/2026
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 Catalogue Number227214
Device Lot NumberL32498400010152-TXA
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer08/31/2026
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/02/2026
Initial Report FDA Received Date09/10/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured04/09/2018
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 Unknown
Patient Sequence Number1
Patient SexUnknown
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