FDA Adverse Event Injury Summary report: N

N/A

MDR report key: 2190855 · Received August 4, 2011

Report

Report Number
1056128-2011-00071
Event Type
Injury
Date Received
August 4, 2011
Report Date
July 8, 2011
Manufacturer
STRYKER SUSTAINABILITY SOLUTIONS
Product Code
NLF
PMA / PMN Number
K081238
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
ID, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE COMPLAINT WAS RELAYED TO THE STRYKER SUSTAINABILITY SOLUTIONS' WITHOUT ANY INFORMATION SUCH AS PROCEDURE DATES, PATIENT INFORMATION, OR AN EXACT QUALITY INVOLVED. THE DEVICES WERE NOT RETURNED TO STRYKER SUSTAINABILITY SOLUTIONS (SSS) FOR EVALUATION. THE PACKAGING WAS NOT SAVED EITHER. THE COMPLAINT DEVICES ARE NOT APPROPRIATE FOR NEONATAL OR INFANT APPLICATION PER SSS'S INSTRUCTIONS FOR USE. SINCE THE COMPLAINT DEVICES WERE NOT RETURNED FOR EVALUATION, A CONCLUSIVE ROOT CAUSE COULD NOT BE DETERMINED. A POTENTIAL CAUSE IS USING AN ADULT PULSE OXIMETER ON AN INFANT. ALL REPROCESSED PULSE OXIMETER SENSORS ARE SUBJECTED TO 100% TESTING PRIOR TO RELEASE. THIS IS THE FIRST COMPLAINT FOR THIS DEVICE RELATED TO BURNS THAT STRYKER SUSTAINABILITY SOLUTIONS HAS RECEIVED.

Description of Event or Problem · 1

IT WAS REPORTED IN PASSING THAT THE USER FACILITY HAD EXPERIENCED ADULT PULSE OXIMETERS CAUSING BURNS TO INFANTS WHEN USED. NO SPECIFIC DETAILS WERE GIVEN AND THE USER FACILITY STATED THERE WAS NO INJURY TO ANY OF THE PATIENTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 N/A NLF NLF STRYKER SUSTAINABILITY SOLUTIONS 2320 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Other