FDA Adverse Event
Malfunction
Summary report: N
2250051-2009-00087
MDR report key: 1356290
·
Received March 5, 2009
Report
- Report Number
- 2250051-2009-00087
- Event Type
- Malfunction
- Date Received
- March 5, 2009
- Product Code
- JTC
- Report Source
- Manufacturer report
Narratives
Additional Manufacturer Narrative · 1
THE INSTRUMENT HAS BEEN INVESTIGATED. THE FIELD SERVICE ENGINEER (FSE) EVALUATED THE INSTRUMENT, INSPECTED X-ARM ASSEMBLY AND FOUND BENT TIP CLAMPS. FSE REPLACED THE TIP CLAMPS AND CLEANED THE SLEEVES. THE INSTRUMENT WAS TESTED WITHOUT FURTHER PROBLEM AND WAS RETURNED TO EXPECTED OPERATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | JTC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |