FDA Adverse Event
Malfunction
Summary report: N
STRYKEFLOW2 WITHOUT TIP (6BX)
MDR report key: 1945303
·
Received December 27, 2010
Report
- Report Number
- 2648666-2010-00501
- Event Type
- Malfunction
- Date Received
- December 27, 2010
- Date of Event
- December 14, 2010
- Report Date
- December 14, 2010
- Manufacturer
- STRYKER ENDOSCOPY PUERTO RICO
- Product Code
- GCX
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- NURSE
Narratives
Additional Manufacturer Narrative · 1
ADDITIONAL INFORMATION WILL BE PROVIDED ONCE INVESTIGATION IS COMPLETED.
Description of Event or Problem · 1
IT WAS REPORTED THAT A REGISTERED NURSE AT THE FACILITY WAS REMOVING THE STRYKEFLOW2 WITHOUT TIP FROM THE CASE AND THEY NOTICED A FEW HAIR STRANDS INSIDE THE CASE. IT WAS FURTHER REPORTED THAT ONE OF THE STRYKEFLOW2 WITHOUT TIP HAD ACTUAL PIECE OF HAIR INSIDE THE SEAL OF THE CONTAINER. IT WAS FURTHER REPORTED THAT DISCOVERY OF THE HAIR STANDS DID NOT OCCUR DURING ANY CASE, THUS, THERE WERE NO REPORTS OF ANY ADVERSE CONSEQUENCES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | STRYKEFLOW2 WITHOUT TIP (6BX) | STRYKEFLOW | GCX | STRYKER ENDOSCOPY PUERTO RICO | 10313FG2 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |