FDA Adverse Event
Malfunction
Summary report: N
NEPTUNE ROVER WITHOUT SMOKE EVAC AND POWER POLE
MDR report key: 3160095
·
Received June 10, 2013
Report
- Report Number
- 0001811755-2013-01326
- Event Type
- Malfunction
- Date Received
- June 10, 2013
- Date of Event
- May 15, 2013
- Report Date
- May 15, 2013
- Manufacturer
- STRYKER INSTRUMENTS-KALAMAZOO
- Product Code
- FYD
- PMA / PMN Number
- K012991
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OK, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE FIELD SERVICE TECHNICIAN FOUND THAT THE PRECISION BALL WAS STUCK RESULTING IN THE ROVER NOT HAVING SUCTION. AFTER HE DISLODGED THE PRECISION BALL THE ROVER FUNCTIONED AS INTENDED. THE UNIT WAS RETURNED TO SERVICE.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE ROVER PUSHED FLUID OUT THROUGH THE MANIFOLD DURING A CASE. THERE WAS A 30 MINUTE DELAY IN THE CASE AS A RESULT OF THIS EVENT. THERE WAS NO PATIENT OR USER INJURY AS A RESULT OF THIS EVENT.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE ROVER PUSHED FLUID OUT THROUGH THE MANIFOLD DURING A CASE. THERE WAS A 30 MINUTE DELAY IN THE CASE AS A RESULT OF THIS EVENT. THERE WAS NO PATIENT OR USER INJURY AS A RESULT OF THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 260266 | NEPTUNE ROVER WITHOUT SMOKE EVAC AND POWER POLE | APPARATUS, EXHAUST, SURGICAL | FYD | STRYKER INSTRUMENTS-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |