FDA Adverse Event
Malfunction
Summary report: N
CARDIODRIVE MOTOR
MDR report key: 17029987
·
Received May 31, 2023
Report
- Report Number
- 17029987
- Event Type
- Malfunction
- Date Received
- May 31, 2023
- Date of Event
- May 12, 2023
- Report Date
- May 23, 2023
- Manufacturer
- STEREOTAXIS, INC
- Product Code
- PJB
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MI
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
MOTOR MALFUNCTION ON CARDIO DRIVE MOTOR OF STEREOTAXIS, IN ELECTROPHYSIOLOGY (EP) LAB. THIS CREATED A DELAY IN THE CASE AND A DIFFERENT APPROACH TO PROCEED WITH THE PROCEDURE WAS USED. EXPENSIVE MATERIALS WERE WASTED DUE TO THE MALFUNCTION AS WELL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1131774 | CARDIODRIVE MOTOR | CATHETER REMOTE CONTROL SYSTEM | PJB | STEREOTAXIS, INC | 030-005115-8 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 23725 DA | Female |