FDA Adverse Event Malfunction Summary report: N

VISIONPRO SYNK 26" WIRELESS LED DISPLAY INTERNATIONAL KIT

MDR report key: 18220834 · Received November 28, 2023

Report

Report Number
0002936485-2023-01203
Event Type
Malfunction
Date Received
November 28, 2023
Date of Event
November 3, 2023
Report Date
July 12, 2024
Manufacturer
STRYKER ENDOSCOPY-SAN JOSE
Product Code
GCJ
PMA / PMN Number
K081995
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION WILL BE PROVIDED ONCE THE INVESTIGATION HAS BEEN COMPLETED. THE DEVICE MANUFACTURER DATE IS NOT KNOWN AT THIS TIME. HOWEVER, SHOULD IT BECOME AVAILABLE IT WILL BE PROVIDED IN FUTURE REPORTS.

Additional Manufacturer Narrative · 0

PRODUCT WAS RECEIVED IN-HOUSE AT STRYKER ENDOSCOPY AND INADVERTENTLY SHIPPED TO OEM- BARCO. IN THE EVENT THAT THE DEVICE IS RECEIVED, THE COMPLAINT WILL BE REOPENED AND THE INVESTIGATION WILL BE UPDATED WITH NEW RESULTS. THE REPORTED FAILURE MODE WILL BE MONITORED FOR FUTURE REOCCURRENCE ALLEGED FAILURE: DISPLAY/ DISPLAY POWER SUPPLY TOO HEAVY PROBABLE ROOT CAUSE: MOUNTING MECHANISM BREAKS (FOR EX: (BOOM ARM / VIDEO CART MOUNT ETC). USE ERROR . THE REPORTED FAILURE MODE WILL BE MONITORED FOR FUTURE REOCCURRENCE. MANUFACTURE DATE IS NOT KNOWN.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE MONITOR FELL AND HIT A STAFF MEMBER. PLEASE NOTE THAT THE STAFF MEMBER WAS NOT INJURED AND NO MEDICAL TREATMENT WAS REQUIRED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE MONITOR FELL AND HIT A STAFF MEMBER. PLEASE NOTE THAT THE STAFF MEMBER WAS NOT INJURED AND NO MEDICAL TREATMENT WAS REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
512067 VISIONPRO SYNK 26" WIRELESS LED DISPLAY INTERNATIONAL KIT LAPAROSCOPE, GENERAL & PLASTIC SURGERY GCJ STRYKER ENDOSCOPY-SAN JOSE

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown