FDA Adverse Event Other Summary report: N

STRYKEFLOW2 WITH DISPOSABLE TIP (6BX)

MDR report key: 2142968 · Received June 21, 2011

Report

Report Number
2648666-2011-00158
Event Type
Other
Date Received
June 21, 2011
Date of Event
May 30, 2011
Report Date
May 30, 2011
Manufacturer
STRYKER ENDOSCOPY PUERTO RICO
Product Code
GCX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

ADDITIONAL INFORMATION WILL BE PROVIDED ONCE THE INVESTIGATION HAS BEEN COMPLETED.

Description of Event or Problem · 1

IT WAS REPORTED THAT A WHITE POWDERY SUBSTANCE WAS FOUND ON THE SUCTION IRRIGATOR WHEN OPENED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STRYKEFLOW2 WITH DISPOSABLE TIP (6BX) STRYKEFLOW GCX STRYKER ENDOSCOPY PUERTO RICO TBA

Patients

Seq Age Sex Outcome Treatment
1 UNK