FDA Adverse Event
Malfunction
Summary report: N
NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE
MDR report key: 1860258
·
Received September 22, 2010
Report
- Report Number
- 1811755-2010-01228
- Event Type
- Malfunction
- Date Received
- September 22, 2010
- Date of Event
- April 12, 2010
- Report Date
- April 12, 2010
- Manufacturer
- STRYKER INSTRUMENTS KALAMAZOO
- Product Code
- FYD
- PMA / PMN Number
- K012991
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NH, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE WAS EVALUATED BY A FIELD SERVICE TECHNICIAN AND IT WAS DETERMINED THAT THE SCREWS ON THE POWER PLUG WERE LOOSE CAUSING THE EVENT. THE PLUG WAS REPAIRED AND TESTED.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE ROVER'S POWERCORD SPARKED WHILE IT WAS BEING UNPLUGGED AFTER A PROCEDURE. THERE WAS NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES RELATED TO THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE | AIR-HANDLING APPARATUS FOR A SURGICAL OPERATING RO | FYD | STRYKER INSTRUMENTS KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |