FDA Adverse Event
Malfunction
Summary report: N
NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE
MDR report key: 2090252
·
Received April 19, 2011
Report
- Report Number
- 1811755-2011-01314
- Event Type
- Malfunction
- Date Received
- April 19, 2011
- Date of Event
- March 23, 2011
- Manufacturer
- STRYKER INSTRUMENTS KALAMAZOO
- Product Code
- FYD
- PMA / PMN Number
- K012991
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE WAS EVALUATED BY A FIELD SVC REP. THE CARBON HOSE WAS FOUND SATURATED WITH FLUID. THE DEVICE WAS REPAIRED AND RETURNED TO SVC.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE ROVER HAD LOW SUCTION DURING A CASE. A DELAY OF 30 MINUTES OCCURRED WHILE ANOTHER UNIT WAS OBTAINED. THERE WAS NO MEDICAL INTERVENTION REQUIRED AND THE PROCEDURE WAS COMPLETED AS PLANNED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE | FYD | STRYKER INSTRUMENTS KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |