FDA Adverse Event
Malfunction
Summary report: N
SCOPIS ENT SOFTWARE WITH TGS
MDR report key: 16860531
·
Received May 3, 2023
Report
- Report Number
- 3015967359-2023-01071
- Event Type
- Malfunction
- Date Received
- May 3, 2023
- Date of Event
- April 5, 2023
- Report Date
- July 19, 2023
- Manufacturer
- STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP
- Product Code
- HAW
- UDI-DI
- 07613327413199
- PMA / PMN Number
- K161491
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Additional Manufacturer Narrative · 0
CORRECTION: FOLLOW-UP REPORT SUBMITTED TO DOCUMENT THE DEVICE WAS NOT AVAILABLE FOR EVALUATION. NO PRODUCT RETURN.
Description of Event or Problem · 0
PER THE CUSTOMER DURING A PROCEDURE THE DEVICE WAS INACCURATE. THE PROCEDURE WAS COMPLETED SUCCESSFULLY WITHOUT A CLINICALLY SIGNIFICANT DELAY; NO MEDICAL INTERVENTION OR ADVERSE CONSEQUENCES WERE REPORTED.
Description of Event or Problem · 0
PER THE CUSTOMER DURING A PROCEDURE THE DEVICE WAS INACCURATE. THE PROCEDURE WAS COMPLETED SUCCESSFULLY WITHOUT A CLINICALLY SIGNIFICANT DELAY; NO MEDICAL INTERVENTION OR ADVERSE CONSEQUENCES WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 543708 | SCOPIS ENT SOFTWARE WITH TGS | NEUROLOGICAL STEREOTAXIC INSTRUMENT | HAW | STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP | 8000-020-002 | VERSION 3.4.4 | 07613327413199 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |