BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAPITAL SPR PLUS III PUMP

    MDR report key: 2760317 · Received September 20, 2012

    Report

    Report Number
    1313850-2012-00293
    Event Type
    Malfunction
    Date Received
    September 20, 2012
    Date of Event
    August 22, 2012
    Report Date
    August 22, 2012
    Manufacturer
    STRYKER CORP DBA GAYMAR
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE POWER CORD HAS EXPOSED WIRES. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CAPITAL SPR PLUS III PUMP PUMP FRN STRYKER CORP DBA GAYMAR CL360 NA

    Patients

    Seq Age Sex Outcome Treatment
    1