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Catalog Number 284002 |
Device Problem
Suction Failure (4039)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 05/09/2017 |
Event Type
malfunction
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Manufacturer Narrative
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If additional information should become available, a supplemental medwatch will be submitted accordingly.(b)(4).Performed service and repair functions.Reviewed service history.Attach box label, software upgrade form, and fms vue final testing.Replaced springs on pressure arms with tip replacement kit to correct issue.Also, replaced damage console cover.Performed software upgrade to the latest versions.The unit passed all diagnostic tests, functional tests, and is fully operational.This report is being filed from the (b)(4) as required under mitek's corrective and preventative actions (capa) to file usa fda mdr missed malfunctions.
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Event Description
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It was reported by the sales rep that during an unspecified arthroscopic surgical procedure, it was observed that the outflow suction on the fms vue pump device was not pulling correctly.According to the reporter, all troubleshooting techniques were performed to no avail.There was a two minutes of delay in the surgical procedure.The same device was used to complete the procedure as there was enough suction to proceed with the surgery.There was patient involvement reported.There were no injuries, medical intervention or prolonged hospitalization.All available information has been disclosed.If additional information should become available, a supplemental medwatch report will be submitted accordingly.
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Manufacturer Narrative
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Product complaint #: (b)(4).Depuy synthes is submitting this report pursuant to the provisions of 21 cfr, part 803.This report may be based on information which depuy synthes has not been able to investigate or verify prior to the required reporting date.This report does not reflect a conclusion by fda, depuy synthes or its employees that the report constitutes an admission that the device, depuy synthes, or its employees caused or contributed to the potential event described in this report.If additional information should become available, a supplemental medwatch will be submitted accordingly.Udi: (b)(4).Correction: review of the device history record(s) showed that there were no issues during the manufacture of this product, and any subcomponents, which would contribute to this complaint condition.
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Search Alerts/Recalls
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