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