FDA Adverse Event
Malfunction
Summary report: N
NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE
MDR report key: 4110331
·
Received September 23, 2014
Report
- Report Number
- 0001811755-2014-03339
- Event Type
- Malfunction
- Date Received
- September 23, 2014
- Date of Event
- September 2, 2014
- Report Date
- September 2, 2014
- Manufacturer
- STRYKER INSTRUMENTS-KALAMAZOO
- Product Code
- FYD
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE REPORTED EVENT OF THE VACUUM GAUGE NOT WORKING WAS CONFIRMED BY A MANUFACTURER FIELD SERVICE TECHNICIAN. POTENTIAL CAUSES FOR THE REPORTED EVENT INCLUDE A COMPONENT FAILURE. THE DEVICE WAS SERVICED FOR PREVENTIVE MAINTENANCE BY A MANUFACTURER FIELD SERVICE REPRESENTATIVE AT THE USER FACILITY.
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING A SURGICAL PROCEDURE AT THE USER FACILITY THE VACUUM GAUGE OF THE ROVER DID NOT WORK, A CONDITION IN WHICH THE ROVER CAN APPLY A HIGHER LEVEL OF SUCTION THAN INTENDED. 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 |
|---|---|---|---|---|---|---|---|
| 591706 | NEPTUNE ROVER WITH SMOKE EVAC AND POWER POLE | APPARATUS, EXHAUST, SURGICAL | FYD | STRYKER INSTRUMENTS-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |