BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TEMP PUMP TEMPERATURE

    MDR report key: 2135238 · Received June 14, 2011

    Report

    Report Number
    1313850-2011-00140
    Event Type
    Malfunction
    Date Received
    June 14, 2011
    Date of Event
    May 19, 2011
    Report Date
    May 19, 2011
    Manufacturer
    STRYKER CORP DBA GAYMAR
    Product Code
    FOH
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE UNIT WOULD NOT PUMP WATER. EVAL FOUND THAT THE POWER CORD HAD BEEN DAMAGED AND GROUND WIRE WAS PARTIALLY EXPOSED. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TEMP PUMP TEMPERATURE PUMP FOH STRYKER CORP DBA GAYMAR TP500 NA

    Patients

    Seq Age Sex Outcome Treatment
    1