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