FDA Adverse Event Malfunction Summary report: N

SMARTPUMP DUAL CHANNEL

MDR report key: 3063577 · Received April 17, 2013

Report

Report Number
0001811755-2013-00822
Event Type
Malfunction
Date Received
April 17, 2013
Date of Event
March 21, 2013
Report Date
March 21, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
KCY
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE SMARTPUMP DUAL CHANNEL WAS RETURNED TO STRYKER INSTRUMENTS FOR EVALUATION DUE TO ALLEGEDLY NOT HOLDING PRESSURE DURING A PROCEDURE. THERE WERE NO ADVERSE CONSEQUENCES REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
164036 SMARTPUMP DUAL CHANNEL TOURNIQUET, PNEUMATIC KCY STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1