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 |