FDA Adverse Event
Malfunction
Summary report: N
FLEXIS
MDR report key: 2971597
·
Received January 17, 2013
Report
- Report Number
- 2971597
- Event Type
- Malfunction
- Date Received
- January 17, 2013
- Date of Event
- January 17, 2013
- Report Date
- January 17, 2013
- Manufacturer
- STRYKER COMMUNICATIONS
- Product Code
- BRY
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- IL, US
Narratives
Description of Event or Problem · 1
THE POWER OUTLETS STOPPED WORKING; UPON INSPECTION FOUND THAT THE WIRES WERE CUT THROUGH AND BARE INSIDE THE BOOM HOUSING NEXT TO THE OXYGEN AND AIR LINES WHICH ALSO SHOW SIGNS OF WEAR. THE FLEXIBLE CONDUIT WAS CUT THROUGH AND THE WIRING WAS ENTWINED AGAINST A METAL STOP. THE BOOM WAS FOUND TO BE MISSING A WEAR BUSHING THAT WOULD PROTECT THE WIRING AND THE GAS LINES. THE DEVICE WAS NOT BEING USED ON A PATIENT AT THE TIME OF THE EVENT.======================MANUFACTURER RESPONSE FOR STRYKER BOOM, OSC-400 BOOM (PER SITE REPORTER).======================THE MANUFACTURE FEELS IT IS AN ENGINEERING DEFECT.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?POWER EQUIPMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 27515 | FLEXIS | CABINET, TABLE AND TRAY, ANESTHESIA | BRY | STRYKER COMMUNICATIONS | OSC-400 | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |