BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STRYKER BOOM

    MDR report key: 20095070 · Received August 29, 2024

    Report

    Report Number
    20095070
    Event Type
    Malfunction
    Date Received
    August 29, 2024
    Date of Event
    August 1, 2024
    Report Date
    August 1, 2024
    Manufacturer
    STRYKER COMMUNICATIONS, INC.
    Product Code
    FQO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WI
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    PATIENT WAS INDUCED AT 1017 AND WE WERE NOT ABLE TO HAVE AN IMAGE UNTIL 1119. UNABLE TO ROUTE VIDEO THROUGH EQ4-1 OUTPUT. ULTIMATELY SUCCESSFUL THROUGH VPA4-1 AND RULED OUT CAMERA, CAMERA BOX ISSUE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1794116 STRYKER BOOM TABLE, OPERATING-ROOM, AC-POWERED FQO STRYKER COMMUNICATIONS, INC. TP-622-C

    Patients

    Seq Age Sex Outcome Treatment
    1 22 YR Female