BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SURGISTOOL

    MDR report key: 2421771 · Received January 16, 2012

    Report

    Report Number
    1831750-2012-00456
    Event Type
    Malfunction
    Date Received
    January 16, 2012
    Date of Event
    December 19, 2011
    Report Date
    December 19, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FZM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE JACK WAS DRIFTING. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SURGISTOOL STOLL, OPERATING ROOM FZM STRYKER MEDICAL 0830 NA

    Patients

    Seq Age Sex Outcome Treatment
    1