FDA Adverse Event Malfunction Summary report: N

NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE

MDR report key: 2519301 · Received March 30, 2012

Report

Report Number
1811755-2012-01167
Event Type
Malfunction
Date Received
March 30, 2012
Date of Event
March 5, 2012
Report Date
March 5, 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 SVC TECH WAS DISPATCHED TO THE USER FACILITY TO EVALUATE THE DEVICE, HOWEVER, WAS UNABLE TO REPLICATE THE REPORTED COMPLAINT.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A SURGICAL PROCEDURE, THE ROVER'S SMOKE EVACUATOR STOPPED FUNCTIONING. THE SURGICAL TEAM RESTARTED THE UNIT AND COMPLETED THE PROCEDURE WITH THIS SAME EQUIPMENT. 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