FDA Adverse Event
Malfunction
Summary report: N
SURGISTOOL
MDR report key: 3903267
·
Received June 30, 2014
Report
- Report Number
- 0001831750-2014-03117
- Event Type
- Malfunction
- Date Received
- June 30, 2014
- Date of Event
- June 2, 2014
- Report Date
- June 2, 2014
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- FZM
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE UNIT COULD NOT BE LOCATED BY THE CUSTOMER. THE CUSTOMER WAS INFORMED TO CONTACT THE SERVICE DEPARTMENT ONCE THE UNIT IS LOCATED.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE BRAKES ARE NOT HOLDING PROPERLY. NO PATIENT WAS AFFECTED AND NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE BRAKES ARE NOT HOLDING PROPERLY. 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 |
|---|---|---|---|---|---|---|---|
| 380688 | SURGISTOOL | STOOL, OPERATING-ROOM | FZM | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |