BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STRYKER AUXILIARY VIDEO CART WITH ISOLATION TRANSF

    MDR report key: 2510832 · Received March 27, 2012

    Report

    Report Number
    2936485-2012-00175
    Event Type
    Malfunction
    Date Received
    March 27, 2012
    Date of Event
    March 15, 2012
    Report Date
    March 15, 2012
    Manufacturer
    STRYKER ENDOSCOPY
    Product Code
    DXJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    ADD'L INFO WILL BE PROVIDED ONCE THE INVESTIGATION HAS BEEN COMPLETED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT SPARKS WERE BEING EMITTED FROM THE PLUG WHICH THEN CAUGHT FIRE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER AUXILIARY VIDEO CART WITH ISOLATION TRANSF VIDEO CART DXJ STRYKER ENDOSCOPY

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK