BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HERMES ARTH PUMP

    MDR report key: 593945 · Received April 19, 2005

    Report

    Report Number
    2936485-2005-00020
    Event Type
    Injury
    Date Received
    April 19, 2005
    Date of Event
    March 17, 2005
    Report Date
    March 21, 2005
    Manufacturer
    STRYKER ENDOSCOPY SAN JOSE
    Product Code
    HRX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE ACTUAL PRESSURE DELIVERED IS TWICE THE PRESSURE REAING AND THIS CAUSED THE OVER INFLATION OF A PATIENT'S SHOULDER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HERMES ARTH PUMP ARTHROSCOPY PUMP HRX STRYKER ENDOSCOPY SAN JOSE * *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Hospitalization