FDA Adverse Event Malfunction Summary report: N

N/A

MDR report key: 2704395 · Received August 17, 2012

Report

Report Number
2090040-2012-00022
Event Type
Malfunction
Date Received
August 17, 2012
Date of Event
July 17, 2012
Report Date
July 23, 2012
Manufacturer
STRYKER SUSTAINABILITY SOLUTIONS
Product Code
NLI
PMA / PMN Number
K033436
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

NEITHER CATHETER WAS RETURNED TO STRYKER SUSTAINABILITY SOLUTIONS FOR AN EVALUATION. INFORMATION SUCH AS SERIAL NUMBER, LOT NUMBER, MANUFACTURE DATE, AND EXPIRATION DATE ARE ALL UNKNOWN. ADDITIONAL INFORMATION FROM THE USER FACILITY STATED THEY WERE TRYING TO USE A GE CONSOLE. THESE ULTRASOUND CATHETERS WERE SIEMENS CATHETERS. THE IDENTIFICATION PINS ON THE GE CONSOLES ARE DIFFERENT THAN THE IDENTIFICATION PINS ON THE SIEMENS CONSOLES, WHICH IS REFLECTED BY THE FLEX CIRCUIT OF THE CATHETER. AS A RESULT, SIEMENS DEVICES ARE NOT COMPATIBLE WITH GE CONSOLES. THE CATHETERS WERE NOT RECOGNIZED AS A RESULT OF INCOMPATIBILITY BETWEEN THE DEVICES AND CONSOLE. THE REPORTED EVENT IS NOT OCCURRING MORE FREQUENTLY OR WITH GREATER SEVERITY THAN IS USUAL FOR THE DEVICE.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A PROCEDURE, TWO ULTRASOUND CATHETERS "WERE NOT RECOGNIZED BY THE EQUIPMENT." APPROXIMATELY 50-60 MINUTES WERE SPENT TROUBLE SHOOTING BEFORE THE PROCEDURE WAS CANCELLED. THE PROCEDURE WAS RESCHEDULED FOR THREE DAYS LATER. NO PATIENT INJURY WAS REPORTED BY THE USER FACILITY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 N/A NLI NLI STRYKER SUSTAINABILITY SOLUTIONS 08255790 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 87 YR