FDA Adverse Event Malfunction Summary report: N

TRITON CANISTER

MDR report key: 16827179 · Received April 27, 2023

Report

Report Number
3011157718-2023-00137
Event Type
Malfunction
Date Received
April 27, 2023
Date of Event
April 29, 2020
Report Date
July 21, 2023
Manufacturer
STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP
Product Code
PBZ
PMA / PMN Number
K163507
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: FOR BACKGROUND, STRYKER ACQUIRED GAUSS SURGICAL INC. (¿GAUSS¿) ON SEPTEMBER 1, 2021. THE MAJORITY OF THE LATE MDRS RESULTED FROM A RETROSPECTIVE REVIEW OF REPORTABILITY DECISIONS MADE PRIOR TO THE ACQUISITION. ADDITIONALLY, STRYKER HAS DETERMINED THAT A CAPA IS NEEDED TO IMPROVE THE POST-ACQUISITION COMPLAINT REVIEW PROCESS ¿ AS A RESULT, CAPA #3338129 WAS APPROVED ON JUNE 14, 2023 AND OPENED ON JUNE 19.

Description of Event or Problem · 0

PER THE CUSTOMER, DURING A PROCEDURE THE QBL BY 190ML FROM ONE SCAN OF CANISTER TO ANOTHER SCAN OF SAME CANISTER. CANISTER WAS AGITATED PRIOR TO EACH SCAN DONE DURING PROCEDURE. SCANNING WAS DONE 4-5 TIMES DUE TO CONCERN OF EXCESS BLOOD LOSS. QBL WENT FROM 936 TO 746. THE CANISTER WAS AGAIN AGITATED AND THE QBL WENT BACK UP TO APPROX. 936. THERE HAD BEEN 200ML OF ADDITIONAL VOLUME ADDED TO CANISTER BETWEEN THE 936 TO 746 SCAN. THE PROCEDURE WAS COMPLETED SUCCESSFULLY WITHOUT A SURGICAL DELAY; NO MEDICAL INTERVENTION OR ADVERSE CONSEQUENCES WERE REPORTED.

Description of Event or Problem · 0

PER THE CUSTOMER, DURING A PROCEDURE THE QBL BY 190ML FROM ONE SCAN OF CANISTER TO ANOTHER SCAN OF SAME CANISTER. CANISTER WAS AGITATED PRIOR TO EACH SCAN DONE DURING PROCEDURE. SCANNING WAS DONE 4-5 TIMES DUE TO CONCERN OF EXCESS BLOOD LOSS. QBL WENT FROM 936 TO 746. THE CANISTER WAS AGAIN AGITATED AND THE QBL WENT BACK UP TO APPROX. 936. THERE HAD BEEN 200ML OF ADDITIONAL VOLUME ADDED TO CANISTER BETWEEN THE 936 TO 746 SCAN. THE PROCEDURE WAS COMPLETED SUCCESSFULLY WITHOUT A SURGICAL DELAY; NO MEDICAL INTERVENTION OR ADVERSE CONSEQUENCES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1235622 TRITON CANISTER IMAGE PROCESSING DEVICE FOR ESTIMATION OF EXTERNAL BLOOD LOSS PBZ STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP

Patients

Seq Age Sex Outcome Treatment
1 Unknown