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