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 |