MAUDE Adverse Event Report: STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP SMARTPUMP DUAL CHANNEL; TOURNIQUET, PNEUMATIC

Catalog Number	5920011000
Medical Device Problem Code	Decrease in Pressure (1490)
Health Effect - Clinical Codes	Insufficient Information (4580); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	06/30/2024
Type of Reportable Event	Malfunction
Event or Problem Description
This report summarizes 32 malfunction events in which the device reportedly had a decrease in pressure.- 15 events had no patient involvement; no patient impact.- 14 events had patient involvement; no patient impact.- 3 events had insufficient information received.
Additional Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Reported events 32 events were reported for this quarter.Product return status 19 devices were received.13 device investigation types have not yet been determined.Additional information 32 devices were not labeled for single-use.32 devices were not reprocessed or reused.
Additional Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Supplemental rationale: 32 previously reported events are included in this follow-up record.Product return status: 22 devices were received.10 device investigation types have not yet been determined.
Event or Problem Description
This report summarizes 32 malfunction events in which the device reportedly had a decrease in pressure.Events had no patient involvement; no patient impact.13 events had patient involvement; no patient impact.3 events had insufficient information received.
Event or Problem Description
This report summarizes 32 malfunction events in which the device reportedly had a decrease in pressure.18 events had no patient involvement; no patient impact.11 events had patient involvement; no patient impact.3 events had insufficient information received.
Additional Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Supplemental rationale: 32 previously reported events are included in this follow-up record.Product return status: 28 devices were received.4 devices were not available for evaluation.
Additional Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Supplemental rationale: 32 previously reported events are included in this follow-up record.Product return status: 28 devices were received.4 devices were not available for evaluation.
Event or Problem Description
This report summarizes 32 malfunction events in which the device reportedly had a decrease in pressure.18 events had no patient involvement: no patient impact.11 events had patient involvement: no patient impact.3 events had insufficient information received.
Additional Manufacturer Narrative
This record is a consolidation of records summarized as a part of the fda voluntary malfunction summary reporting program.Supplemental rationale corrected data: b5, h6, h11 32 previously reported events are included in this follow-up record.Product return status 28 devices were received.4 devices were not available for evaluation.
Event or Problem Description
This report summarizes 32 malfunction events in which the device reportedly had a decrease in pressure.- 18 events had the problem identified during a non-clinical procedure; there was no patient involvement.- 11 events had patient involvement; no patient impact.- 3 events had insufficient information regarding health impact received.

• Brand Name: SMARTPUMP DUAL CHANNEL
• Common Device Name: TOURNIQUET, PNEUMATIC
• Manufacturer (Section D): STRYKER INSTRUMENTS-A DIVISION OF STRYKER CORP; 1941 stryker way; portage MI 49002
• Manufacturer (Section G): STRYKER INSTRUMENTS-KALAMAZOO; 4100 east milham avenue; kalamazoo MI 49001
• Manufacturer Contact: kelsey barla ; 1941 stryker way; portage, MI 49002 ; 2693237700
• MDR Report Key: 19823144
• Report Number: 3015967359-2024-01528
• Device Sequence Number: 8666154
• Product Code: KCY
• UDI-Device Identifier: 07613154589647
• UDI-Public: 07613154589647
• Combination Product (Y/N): N
• Initial Reporter State: MI
• Initial Reporter Country: US
• Number of Events Summarized: 32
• Summary Report (Y/N): Y
• Reporter Type: Manufacturer
• Report Source: Company Representative
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup,Followup,Followup,Followup
• Report Date (Section B): 01/27/2025

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Catalogue Number: 5920011000
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Follow-Up
• Initial Date Received by Manufacturer: 06/30/2024
• Supplement Date Received by Manufacturer: 06/30/2024; 06/30/2024; 06/30/2024; 06/30/2024
• Initial Report FDA Received Date: 07/24/2024
• Supplement Report FDA Received Date: 07/30/2024; 10/25/2024; 10/28/2024; 01/27/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Patient Sex: Unknown