FDA Adverse Event Malfunction Summary report: N

FLYTE LIGHTED HELMET BP

MDR report key: 3824922 · Received May 21, 2014

Report

Report Number
0001811755-2014-01856
Event Type
Malfunction
Date Received
May 21, 2014
Date of Event
April 24, 2014
Report Date
April 24, 2014
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
FXZ
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

FAILURE ANALYSIS IS IN PROGRESS; ADDITIONAL INFORMATION WILL BE SUBMITTED ONCE THE QUALITY INVESTIGATION IS COMPLETED.

Additional Manufacturer Narrative · 1

THE REPORTED OVERHEATING WAS NOT ABLE TO BE DUPLICATED BY A MANUFACTURER REPAIR TECHNICIAN THROUGH FUNCTIONAL EVALUATION. POTENTIAL CAUSES FOR THE REPORTED EVENT INCLUDE ENVIRONMENTAL FACTORS, BUT THIS COULD NOT BE CONFIRMED. THE HELMET IS NOT A REPAIRABLE DEVICE AND WILL THEREFORE NOT BE RETURNED TO THE USER FACILITY.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A SURGICAL PROCEDURE AT THE USER FACILITY THE DEVICE WAS OVERHEATING. THE PROCEDURE WAS COMPLETED SUCCESSFULLY. NO DELAY, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A SURGICAL PROCEDURE AT THE USER FACILITY, THE DEVICE WAS OVERHEATING. THE PROCEDURE WAS COMPLETED SUCCESSFULLY. NO DELAY, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
301873 FLYTE LIGHTED HELMET BP HELMET, SURGICAL FXZ STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1