FDA Adverse Event
Malfunction
Summary report: N
FLOCONTROL ARTHROSCOPY PUMP (HAND CONTROL INCLUDED
MDR report key: 2211259
·
Received July 12, 2011
Report
- Report Number
- 2936485-2011-00491
- Event Type
- Malfunction
- Date Received
- July 12, 2011
- Date of Event
- June 16, 2011
- Report Date
- June 16, 2011
- Manufacturer
- STRYKER ENDOSCOPY SAN JOSE
- Product Code
- HRX
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OR, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
ADDITIONAL INFO WILL BE PROVIDED ONCE THE INVESTIGATION HAS BEEN COMPLETED.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE UNIT'S PRESSURE IS FLUCTUATING UP AND DOWN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | FLOCONTROL ARTHROSCOPY PUMP (HAND CONTROL INCLUDED | ARTHROSCOPY PUMP | HRX | STRYKER ENDOSCOPY SAN JOSE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |