FDA Adverse Event Malfunction Summary report: N

ARTHREX

MDR report key: 2941011 · Received October 17, 2006

Report

Report Number
2941011
Event Type
Malfunction
Date Received
October 17, 2006
Date of Event
October 12, 2006
Report Date
October 12, 2006
Manufacturer
ARTHREX
Product Code
LXH
Product Problem
Yes
Report Source
User Facility report
Reporter Location
AL, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DURING A KNEE ARTHROSCOPY, THE DOCTOR NOTED THE KNEE SWELLING WITH FLUID ABNORMALITY. THE ARTHREX PUMP IMMEDIATELY TURNED OFF AND REPLACED WITH DIFFERENT TUBING. NO PROBLEMS NOTED AFTER THE CHANGE OF TUBING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARTHREX ORTHO LXH ARTHREX MACHINE

Patients

Seq Age Sex Outcome Treatment
1 17 YR ARTHREX PUMP TUBING: (B)(4), LOT # 002211