FDA Adverse Event Malfunction Summary report: N

NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE

MDR report key: 2472754 · Received February 23, 2012

Report

Report Number
1811755-2012-00637
Event Type
Malfunction
Date Received
February 23, 2012
Date of Event
January 26, 2012
Report Date
January 26, 2012
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
FYD
PMA / PMN Number
K012991
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

A MFR FIELD SERVICE TECHNICIAN WAS DISPATCHED TO THE USER FACILITY TO EVALUATE THE DEVICE. VISUAL INSPECTION CONFIRMED THAT THE POWER CORD WAS SHREDDED, HOWEVER, NO SPARKS WERE OBSERVED. THE CAUSE OF THE CORD DAMAGE IS UNK, BUT MAY BE THE RESULT OF MISHANDLING. THE POWER CORD ASSEMBLY WAS REPLACED AND THE ROVER RETURNED TO USE.

Description of Event or Problem · 1

IT WAS REPORTED THAT SPARKS FROM A DAMAGED ROVER POWER CORD WAS OBSERVED. THERE WERE NO REPORTS OF ANY INJURIES ASSOCIATED WITH THIS EVENT. NO FURTHER INFO WAS PROVIDED FROM THE USER FACILITY AND ATTEMPTS TO OBTAIN ADD'L INFO WERE UNSUCCESSFUL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE FYD STRYKER INSTRUMENTS KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 UNK