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 |