BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STRYKER 5MM X 10 FIBEROPTIC CABLE

    MDR report key: 440041 · Received January 23, 2003

    Report

    Report Number
    2936485-2003-00006
    Event Type
    Malfunction
    Date Received
    January 23, 2003
    Date of Event
    January 8, 2003
    Report Date
    January 16, 2003
    Manufacturer
    STRYKER ENDOSCOPY
    Product Code
    EQH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE UNIT BURNED THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER 5MM X 10 FIBEROPTIC CABLE FIBEROPTIC CABLE EQH STRYKER ENDOSCOPY 0233-050-069 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other