FDA Adverse Event
Malfunction
Summary report: N
GATOR
MDR report key: 3181393
·
Received May 30, 2013
Report
- Report Number
- 3181393
- Event Type
- Malfunction
- Date Received
- May 30, 2013
- Date of Event
- May 24, 2013
- Report Date
- May 30, 2013
- Manufacturer
- LINVATEC CORPORATION D/B/A CONMED LINVATEC
- Product Code
- HRX
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CO, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
DURING THE ROUTINE KNEE ARTHROSCOPY, THE GATOR 4.2 MM CURVED SHAVER (PN C9266M) CLOGGED UP AND DID NOT FUNCTION AS IT SHOULD.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?LEFT KNEE ARTHROSCOPY.DEVICE #1IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 239926 | GATOR | ARTHROSCOPE | HRX | LINVATEC CORPORATION D/B/A CONMED LINVATEC | 4.2MM | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 59 YR |