FDA Adverse Event
Malfunction
Summary report: N
STRYKER, MAKO
MDR report key: 14549063
·
Received May 31, 2022
Report
- Report Number
- 8043817-2022-00018
- Event Type
- Malfunction
- Date Received
- May 31, 2022
- Date of Event
- March 22, 2022
- Report Date
- May 31, 2022
- Manufacturer
- ECOLAB/MICROTEK MEDICAL INC.
- Product Code
- PUI
- UDI-DI
- 50748426117586
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- 501
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT THE DRAPE WAS TORN DURING SURGERY. THERE WAS NO IMPACT TO THE PATIENT AND NO PATIENT INJURY OR ADVERSE CONSEQUENCES WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1610492 | STRYKER, MAKO | ROBOTIC DRAPE | PUI | ECOLAB/MICROTEK MEDICAL INC. | 111320 | D211861 | 50748426117586 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |