BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NEPTUNE 2 DOCKING STATION (120V)

    MDR report key: 2101945 · Received May 18, 2011

    Report

    Report Number
    1811755-2011-01809
    Event Type
    Malfunction
    Date Received
    May 18, 2011
    Date of Event
    April 18, 2011
    Report Date
    April 18, 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 FIELD SVC REP EVALUATED THE DOCKER AND FOUND THAT THE FAUCET LOCATED ABOVE THE DOCKER WAS CORRODED AND LEAKING WATER DIRECTLY ONTO THE DOCKER. WATER HAD POOLED INSIDE AND AROUND DOCKER. THE CUSTOMER WAS ADVISED TO HAVE BUILDING MAINTENANCE REPAIR THE CORRODED FAUCET. THE CORD WAS REPLACED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT DOCKER'S POWER CORD WAS BURNED AND VISIBLY ARCING. THERE WAS NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NEPTUNE 2 DOCKING STATION (120V) FYD STRYKER INSTRUMENTS KALAMAZOO

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK