BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ZIMMER

    MDR report key: 3032536 · Received February 22, 2013

    Report

    Report Number
    3032536
    Event Type
    Malfunction
    Date Received
    February 22, 2013
    Date of Event
    February 20, 2013
    Report Date
    February 22, 2013
    Manufacturer
    STRYKER SUSTAINABILITY SOLUTIONS
    Product Code
    KCY
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING ROUTINE KNEE SCOPE, AS THE CASE WAS ABOUT TO START THE TOURNIQUET WAS INFLATED BUT WOULD NOT HOLD AIR.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?KNEE SCOPE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    79028 ZIMMER TOURNIQUET KCY STRYKER SUSTAINABILITY SOLUTIONS 34" X 4" 2330923

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR