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