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