FDA Adverse Event Malfunction Summary report: N

TEMP PUMP TEMPERATURE

MDR report key: 2243256 · Received September 1, 2011

Report

Report Number
1313850-2011-00374
Event Type
Malfunction
Date Received
September 1, 2011
Date of Event
August 4, 2011
Report Date
August 4, 2011
Manufacturer
STRYKER CORP DBA GAYMAR
Product Code
ILO
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULT - DAMAGED HOUSING. IT SHOULD BE NOTED THE UNIT ALSO HAD A NON-FUNCTIONING ON/OFF SWITCH, SO THE DEVICE COULD NOT BE POWERED ON.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE UNIT'S HOUSING WAS DAMAGED, EXPOSING ACCESSIBLE HIGH VOLTAGE MOTOR TERMINALS. NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TEMP PUMP TEMPERATURE PUMP ILO STRYKER CORP DBA GAYMAR TP500C NA

Patients

Seq Age Sex Outcome Treatment
1