FDA Adverse Event
Malfunction
Summary report: N
NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE
MDR report key: 3072785
·
Received April 23, 2013
Report
- Report Number
- 0001811755-2013-00867
- Event Type
- Malfunction
- Date Received
- April 23, 2013
- Date of Event
- April 2, 2013
- Report Date
- April 3, 2013
- Manufacturer
- STRYKER INSTRUMENTS-KALAMAZOO
- Product Code
- FYD
- PMA / PMN Number
- K012991
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE FIELD SERVICE TECHNICIAN WAS NOT ABLE TO CONFIRM THE REPORTED EVENT THAT THE ROVER HAD A DEFECTIVE PLUG AND EXPOSED WIRES. THE TECHNICIAN DID FIND THAT THE UNIT HAD A HUBBLE LOCK PLUG WHICH IS NOT A STRYKER PROVIDED PLUG. BASED ON THE IFU, THE CUSTOMER SHOULD NOT MODIFY THE STRYKER PROVIDE PLUG.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE ROVER'S POWER CORD HAS EXPOSED WIRING. THIS WAS NOTICED PRIOR TO A PROCEDURE DURING INSPECTION. THERE WAS NO PATIENT INVOLVEMENT AND NO ADVERSE CONSEQUENCES ASSOCIATED WITH THE DEVICE.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE ROVER'S POWER CORD HAS EXPOSED WIRING. THIS WAS NOTICED PRIOR TO A PROCEDURE DURING INSPECTION. THERE WAS NO PATIENT INVOLVEMENT AND NO ADVERSE CONSEQUENCES ASSOCIATED WITH THE DEVICE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 175506 | NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE | APPARATUS, EXHAUST, SURGICAL | FYD | STRYKER INSTRUMENTS-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |