FDA Adverse Event Injury Summary report: N

NAVIGATION SYSTEM II - CART

MDR report key: 5391579 · Received January 26, 2016

Report

Report Number
0001811755-2016-00094
Event Type
Injury
Date Received
January 26, 2016
Date of Event
January 13, 2016
Report Date
January 13, 2016
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
HAW
PMA / PMN Number
K993239
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GB
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

THE REPORTED EVENT THAT ONE OF THE SCREWS LOCATED WITHIN THE WHEEL BROKE, LEAVING THE CART WITH ONLY 3 SUPPORTING WHEELS WAS CONFIRMED VISUAL INSPECTION. THE WHEEL WAS REPLACED AND REPAIRED AT THE USER FACILITY.

Description of Event or Problem · 1

IT WAS REPORTED THAT WHILE A NURSE WAS TRANSPORTING A NAVIGATION SYSTEM II CART OUT OF THE OPERATING THEATRE, THE CASTOR BROKE OFF OF THE CART. THE NURSE ATTEMPTED TO SUPPORT THE WEIGHT OF THE CART IN ORDER TO AVOID THE CART TIPPING OVER. THE NURSE REPORTED LOCALIZED PAIN ON THE RIGHT SIDE OF HER BACK, RUNNING FROM HER SHOULDER BLADE TO THE UPPER PORTION OF HER LEG, FOR WHICH SHE WAS TREATED WITH PAINKILLERS, PARACETAMOL + DICLOFENIC, BUT CONTINUES TO EXPERIENCE PAIN IN HER BACK.

Description of Event or Problem · 1

IT WAS REPORTED THAT WHILE A NURSE WAS TRANSPORTING A NAVIGATION SYSTEM II CART OUT OF THE OPERATING THEATRE, THE CASTOR BROKE OFF OF THE CART. THE NURSE ATTEMPTED TO SUPPORT THE WEIGHT OF THE CART IN ORDER TO AVOID THE CART TIPPING OVER. THE NURSE REPORTED LOCALIZED PAIN ON THE RIGHT SIDE OF HER BACK, RUNNING FROM HER SHOULDER BLADE TO THE UPPER PORTION OF HER LEG, FOR WHICH SHE WAS TREATED WITH PAINKILLERS, PARACETAMOL + DICLOFENIC, BUT CONTINUES TO EXPERIENCE PAIN IN HER BACK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
49078 NAVIGATION SYSTEM II - CART NEUROLOGICAL STEREOTAXIC INSTRUMENT HAW STRYKER INSTRUMENTS-KALAMAZOO

Patients

Seq Age Sex Outcome Treatment
1 Other