FDA Adverse Event Malfunction Summary report: N

NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE

MDR report key: 2507104 · Received March 23, 2012

Report

Report Number
1811755-2012-01100
Event Type
Malfunction
Date Received
March 23, 2012
Date of Event
February 28, 2012
Report Date
February 28, 2012
Manufacturer
STRYKER INSTRUMENTS KALAMAZOO
Product Code
FYD
PMA / PMN Number
K012991
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

A MFR FIELD SERVICE TECH WAS DISPATCHED TO THE USER FACILITY TO EVALUATE THE DEVICE. THE TECHNICIAN CONFIRMED THAT THE SMOKE EVACUATOR DID NOT SUCTION DUE TO A NON-FUNCTIONING SMOKE MOTOR. THE MOTOR WAS REPLACED AND THE ROVER WAS RETURNED TO USE.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A SURGICAL PROCEDURE, THE ROVER'S SMOKE EVACUATOR HAD NO SUCTION. THE PROCEDURE WAS COMPLETED USING THIS SAME EQUIPMENT, WITHOUT CAUSING A DELAY. THERE WAS NO REPORT OF ANY PT OR USER EXPOSURE TO SURGICAL PLUME. NO PT OR USER INJURY WAS REPORTED, AND NO OTHER ADVERSE CONSEQUENCES WERE ALLEGED WITH THIS EVENT.

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