FDA Adverse Event
Malfunction
Summary report: N
T5 SURGICAL HELMET
MDR report key: 4897902
·
Received July 8, 2015
Report
- Report Number
- 0001811755-2015-02438
- Event Type
- Malfunction
- Date Received
- July 8, 2015
- Date of Event
- June 15, 2015
- Report Date
- June 16, 2015
- Manufacturer
- STRYKER INSTRUMENTS-KALAMAZOO
- Product Code
- FXZ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
DEVICE HAS NOT YET BEEN RETURNED.
Additional Manufacturer Narrative · 1
THE DEVICE WAS SCRAPPED BY STRYKER.
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING A SURGICAL PROCEDURE AT THE USER FACILITY, THE DEVICE WAS OVERHEATING. THE PROCEDURE WAS COMPLETED SUCCESSFULLY. NO DELAY, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WERE REPORTED WITH THIS EVENT.
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING A SURGICAL PROCEDURE AT THE USER FACILITY THE DEVICE WAS OVERHEATING. 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 |
|---|---|---|---|---|---|---|---|
| 442404 | T5 SURGICAL HELMET | HELMET, SURGICAL | FXZ | STRYKER INSTRUMENTS-KALAMAZOO | 13318 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |