BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CAPITAL CONVECTIVE PATIENT

    MDR report key: 3193108 · Received June 27, 2013

    Report

    Report Number
    0001831750-2013-05853
    Event Type
    Malfunction
    Date Received
    June 27, 2013
    Date of Event
    May 30, 2013
    Report Date
    May 31, 2013
    Manufacturer
    STRYKER MEDICAL-KALAMAZOO
    Product Code
    DWJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE MAIN POWER SWITCH AND WIRING ARE BURNED UP AND THE HOUSING IS CHARRED. NO PATIENT WAS AFFECTED AND NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    292942 CAPITAL CONVECTIVE PATIENT SYSTEM, THERMAL REGULATING DWJ STRYKER MEDICAL-KALAMAZOO

    Patients

    Seq Age Sex Outcome Treatment
    1