FDA Adverse Event Malfunction Summary report: N

NAVIGATION SYSTEM II - CART

MDR report key: 3072793 · Received April 23, 2013

Report

Report Number
0001811755-2013-00860
Event Type
Malfunction
Date Received
April 23, 2013
Date of Event
March 26, 2013
Report Date
March 26, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HAW
PMA / PMN Number
K993239
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

IT IS NOT POSSIBLE TO DETERMINE THE CAUSE OF THE EVENT WITHOUT AN EVALUATION OF THE DEVICE. ADDITIONAL INFORMATION WILL BE SUBMITTED WHEN THE DEVICE IS RECEIVED AND EVALUATED. (B)(4).

Additional Manufacturer Narrative · 1

NO FAILURE WAS FOUND WITH THE NAVIGATION CART: THE MAIN POWER CABLE THAT WAS RETURNED WITH THE NAVIGATION CART WAS SLICED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE NAVIGATION SYSTEM II - CART CABLE HAD A SPLIT IN IT WITH WIRES EXPOSED. THERE WAS NO PATIENT INVOLVEMENT, NO ADVERSE EVENT WAS ASSOCIATED WITH THE DEVICE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE NAVIGATION SYSTEM II - CART CABLE HAD A SPLIT IN IT WITH WIRES EXPOSED. THERE WAS NO PATIENT INVOLVEMENT, NO ADVERSE EVENT WAS ASSOCIATED WITH THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
174874 NAVIGATION SYSTEM II - CART STEREOTAXIC INSTRUMENT HAW STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1