FDA Adverse Event Malfunction Summary report: N

VENOM100MM MULTIGEN2 ELECTRODE

MDR report key: 22675035 · Received July 31, 2025

Report

Report Number
3015967359-2025-01331
Event Type
Malfunction
Date Received
July 31, 2025
Date of Event
July 2, 2025
Report Date
September 19, 2025
Manufacturer
STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP
Product Code
GXD
UDI-DI
07613327173680
PMA / PMN Number
K170242
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

ON 9/19/2025, STRYKER INSTRUMENTS DISCONTINUED THE PRACTICE OF FILING MDRS FOR COMPLAINTS RELATED TO SHEATH BROKEN OFF, MISSING, OR FLAKING RESULTING IN THE THERMOCOUPLE BECOMING EXPOSED FOR DEVICES REGISTERED UNDER GXD PRODUCT CODE IN ACCORDING TO FDA'S "FINAL GUIDANCE ON MEDICAL DEVICE REPORTING FOR MANUFACTURERS" SECTION 2.15. THIS MALFUNCTION HAS NOT CAUSED OR CONTRIBUTED TO ANY SERIOUS INJURIES OR DEATHS IN AT LEAST TWO YEARS. NO NEW MDRS WILL BE FILED FOR THIS MALFUNCTION AND CORRECTED SUPPLEMENTAL MDRS WILL BE SUBMITTED IF NECESSARY FOR ANY EVENTS PENDING DEVICE INVESTIGATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT UPON FUNCTIONAL EVALUATION THE SHEATH WAS BROKEN OFF AND MISSING EXPOSING THE THERMOCOUPLE. THERE WAS NO PATIENT INVOLVEMENT, NO DELAY, NO MEDICAL INTERVENTION, AND NO ADVERSE CONSEQUENCES.

Description of Event or Problem · 0

NO NEW INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
56411 VENOM100MM MULTIGEN2 ELECTRODE GENERATOR, LESION, RADIOFREQUENCY GXD STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP 07613327173680

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown