FDA Adverse Event Malfunction Summary report: N

MULTIGEN RADIOFREQUENCY GENERATOR

MDR report key: 2465433 · Received February 16, 2012

Report

Report Number
1811755-2012-00517
Event Type
Malfunction
Date Received
February 16, 2012
Date of Event
January 17, 2012
Report Date
January 17, 2012
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
GXD
PMA / PMN Number
K071482
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS NOT BEEN RECEIVED AT THE MANUFACTURER FOR TESTING. AN EVALUATION WILL BE CONDUCTED, AND A FOLLOW-UP REPORT WILL BE SUBMITTED AFTER THE QUALITY INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE DID NOT FUNCTION AND WAS READING AN ERROR MESSAGE DURING THE COURSE OF A PROCEDURE. IT IS UNKNOWN AT THIS TIME WHAT TYPE OF ANESTHESIA WAS USED. THE PROCEDURE WAS RESCHEDULED FOR A LATER DATE. THERE WERE NO ADVERSE CONSEQUENCES AND NO MEDICAL INTERVENTION REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MULTIGEN RADIOFREQUENCY GENERATOR GXD STRYKER INSTRUMENTS KALAMAZOO LES6201

Patients

Seq Age Sex Outcome Treatment
1 UNK