FDA Adverse Event Malfunction Summary report: N

NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE

MDR report key: 3152421 · Received June 7, 2013

Report

Report Number
0001811755-2013-01313
Event Type
Malfunction
Date Received
June 7, 2013
Date of Event
May 13, 2013
Report Date
May 13, 2013
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
FYD
PMA / PMN Number
K012991
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE MANUFACTURER SERVICE TECHNICIAN RE-TERMINATED THE POWER CORD END AND APPLIED A NEW POWER PLUG. THE UNIT WAS RETURNED TO SERVICE.

Description of Event or Problem · 1

IT WAS REPORTED THAT THERE WAS HEAT DAMAGE TO THE POWER PLUG ASSEMBLY OF THE ROVER. THERE WAS NO PATIENT INVOLVEMENT AND NO ADVERSE CONSEQUENCES ASSOCIATED WITH THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
253001 NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE APPARATUS, EXHAUST, SURGICAL FYD STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1