BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INTERPULSE PULSE LAVAGE

    MDR report key: 4190172 · Received October 15, 2014

    Report

    Report Number
    MW5038679
    Event Type
    Malfunction
    Date Received
    October 15, 2014
    Date of Event
    October 14, 2014
    Report Date
    October 15, 2014
    Manufacturer
    STRYKER
    Product Code
    FQH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    IRRIGATOR CONNECTED TO IRRIGATION BAG, WENT TO ACTIVATE AND NOTHING HAPPENED. POSSIBLE BATTERY DEAD?

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    652683 INTERPULSE PULSE LAVAGE PULSE LAVAGE IRRIGATOR FQH STRYKER PULSE LAVAGE

    Patients

    Seq Age Sex Outcome Treatment
    1 0 YR