FDA Adverse Event Malfunction Summary report: N

SMARTPUMP DUAL CHANNEL

MDR report key: 3972966 · Received August 1, 2014

Report

Report Number
0001811755-2014-02753
Event Type
Malfunction
Date Received
August 1, 2014
Date of Event
July 14, 2014
Report Date
July 14, 2014
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
KCY
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A FOLLOW UP REPORT WILL BE FILED AFTER THE QUALITY INVESTIGATION HAS BEEN COMPLETED.

Additional Manufacturer Narrative · 1

PRODUCT WILL NOT LONGER BE RETURNED AS THE USER FACILITY INDICATED THE FOLLOWING: "CUSTOMER STATES THEY DISCOVERED THEIR LEG HOLDER MACHINE IS WHAT CAUSED THE EVENT NOT THE SMARTPUMP. SHE SAID WHEN THE DOCTOR TIGHTENED THE LEG HOLDER, IT SQUEEZED THE CUFF MAKING IT GO FROM LEG SHAPED TO OVAL AND THUS THE PUMP WAS NOT WORKING CORRECTLY. THEY DO NOT WISH TO RETURN THE PUMP FOR REPAIR OR EVALUATION." THE DEVICE WILL NOT BE RETURNED FOR EVALUATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A KNEE PROCEDURE THE SMARTPUMP HAD A SMALL LOSS IN PRESSURE, WHICH CAUSED MINIMAL BLEED-THROUGH TO THE SURGICAL SITE. THE PROCEDURE WAS COMPLETED SUCCESSFULLY. NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A KNEE PROCEDURE, THE SMARTPUMP HAD A SMALL LOSS IN PRESSURE, WHICH CAUSED MINIMAL BLEED-THROUGH TO THE SURGICAL SITE. THE PROCEDURE WAS COMPLETED SUCCESSFULLY. NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
450890 SMARTPUMP DUAL CHANNEL TOURNIQUET, PNEUMATIC KCY STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1