FDA Adverse Event
Malfunction
Summary report: N
SURGISTOOL
MDR report key: 3753829
·
Received April 16, 2014
Report
- Report Number
- 0001831750-2014-02915
- Event Type
- Malfunction
- Date Received
- April 16, 2014
- Date of Event
- March 24, 2014
- Report Date
- March 25, 2014
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- FZM
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED BY REPAIR WORK ORDER THAT THE BRAKES COULD NOT HOLD DUE TO MISSING RUBBER TIP. 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 |
|---|---|---|---|---|---|---|---|
| 231625 | SURGISTOOL | STOOL, OPERATING-ROOM | FZM | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |