FDA Adverse Event Malfunction Summary report: N

T4 HELMET POWER PACK

MDR report key: 7108660 · Received December 12, 2017

Report

Report Number
0001811755-2017-02430
Event Type
Malfunction
Date Received
December 12, 2017
Date of Event
November 13, 2017
Report Date
June 1, 2018
Manufacturer
STRYKER INSTRUMENTS-KALAMAZOO
Product Code
FXZ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

WE HAVE EVALUATED THE DEVICE.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING TESTING CONDUCTED AT THE USER FACILITY, THE DEVICE WAS OVERHEATING BUT DID NOT CATCH FIRE. THERE WAS NO PATIENT INVOLVEMENT, NO DELAY, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WITH THIS EVENT.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING TESTING CONDUCTED AT THE USER FACILITY, THE DEVICE WAS OVERHEATING BUT DID NOT CATCH FIRE. THERE WAS NO PATIENT INVOLVEMENT, NO DELAY, NO MEDICAL INTERVENTION AND NO ADVERSE CONSEQUENCES WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
886817 T4 HELMET POWER PACK HELMET, SURGICAL FXZ STRYKER INSTRUMENTS-KALAMAZOO 17017

Patients

Seq Age Sex Outcome Treatment
1