BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STRYKER ENDOSCOPY

    MDR report key: 2614768 · Received May 29, 2012

    Report

    Report Number
    MW5025734
    Event Type
    Malfunction
    Date Received
    May 29, 2012
    Date of Event
    May 11, 2012
    Report Date
    May 24, 2012
    Manufacturer
    STRYKER ENDOSCOPY
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SUCTION IRRIGATOR STARTED TO SMOKE, IRRIGATOR THROWN OFF FIELD, NO HARM TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER ENDOSCOPY STRYKER FLOW II - SURGICAL IRRIGATOR GEI STRYKER ENDOSCOPY 250-070-500

    Patients

    Seq Age Sex Outcome Treatment
    1 23 YR Other