CASTVAC W/8 FOOT HOSE AND MOBILE STAND 0986000000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2013-05-03 for CASTVAC W/8 FOOT HOSE AND MOBILE STAND 0986000000 manufactured by Stryker Instruments-kalamazoo.

Event Text Entries

[3162383] It was reported that the castvac w/8 foot hose and mobile stand was allegedly overheating during a procedure. The procedure was completed successfully without any delay. There was no medical treatment or intervention required as a result of the event and no adverse consequences.
Patient Sequence No: 1, Text Type: D, B5


[3718847] It was reported that the castvac w/8 foot hose and mobile stand was allegedly overheating during a procedure. The procedure was completed successfully without any delay. There was no medical treatment or intervention required as a result of the event and no adverse consequences.
Patient Sequence No: 1, Text Type: D, B5


[10830476] The device is available for evaluation but has not yet been received. Additional information may be submitted once the device is received and the quality investigation is complete. The device is available for evaluation but has not yet been received. Additional information will be submitted once the device is received and the quality investigation is complete.
Patient Sequence No: 1, Text Type: N, H10


[11227460] The product was not returned for evaluation, so the reported event of overheating could not be confirmed.
Patient Sequence No: 1, Text Type: N, H10


[20980103] It was reported that the castvac w/8 foot hose and mobile stand was overheating during a procedure. The procedure was completed successfully without any delay. There was no medical treatment or intervention required as a result of the event and no adverse consequences.
Patient Sequence No: 1, Text Type: D, B5


[21298914] There was no patient or user injury as a result of this event and reported information regarding this event does not suggest a recurrence of this event would result in a serious injury. Cast vac does not come in direct contact with user or the patient. There was no indication of smoke, flames, or sparks associated with this event. In the past, this type of malfunction for this product has not caused or contributed to a death or serious injury. This is not a fileable event; the report was filed in error.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number0001811755-2013-01022
MDR Report Key3092181
Report Source06
Date Received2013-05-03
Date of Report2013-04-29
Date of Event2013-04-29
Date Mfgr Received2014-04-21
Date Added to Maude2013-07-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMR. CASEY METZGER
Manufacturer Street4100 EAST MILHAM AVENUE
Manufacturer CityKALAMAZOO MI 49001
Manufacturer CountryUS
Manufacturer Postal49001
Manufacturer Phone2693237700
Manufacturer G1STRYKER INSTRUMENTS-KALAMAZOO
Manufacturer Street4100 EAST MILHAM AVENUE
Manufacturer CityKALAMAZOO MI 49001
Manufacturer CountryUS
Manufacturer Postal Code49001
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCASTVAC W/8 FOOT HOSE AND MOBILE STAND
Generic NameINSTRUMENT, CAST REMOVAL, AC-POWERED
Product CodeLGH
Date Received2013-05-03
Catalog Number0986000000
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER INSTRUMENTS-KALAMAZOO
Manufacturer Address4100 EAST MILHAM AVENUE KALAMAZOO MI 49001 US 49001


Patients

Patient NumberTreatmentOutcomeDate
10 2013-05-03

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