MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2016-07-08 for FLYTE LIGHTED HELMET BP 0408645000 manufactured by Stryker Instruments-kalamazoo.
[49029828]
The device was not returned for analysis.
Patient Sequence No: 1, Text Type: N, H10
[49029829]
It was reported that during a surgical procedure at the user facility the device heated up. It was reported that a loose thread from the surgical hood was entangled in the fan. There was no surgical delay, no medical intervention and no adverse consequences.
Patient Sequence No: 1, Text Type: D, B5
[49503014]
Patient Sequence No: 1, Text Type: N, H10
[49503015]
It was reported that during a surgical procedure at the user facility the device heated up. It was reported that a loose thread from the surgical hood was entangled in the fan. There was no surgical delay, no medical intervention and no adverse consequences.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 0001811755-2016-01089 |
MDR Report Key | 5778172 |
Report Source | COMPANY REPRESENTATIVE |
Date Received | 2016-07-08 |
Date of Report | 2016-06-14 |
Date of Event | 2016-06-10 |
Date Mfgr Received | 2016-06-14 |
Device Manufacturer Date | 2013-11-04 |
Date Added to Maude | 2016-07-08 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | MR. CASEY METZGER |
Manufacturer Street | 4100 EAST MILHAM AVENUE |
Manufacturer City | KALAMAZOO MI 49001 |
Manufacturer Country | US |
Manufacturer Postal | 49001 |
Manufacturer Phone | 2693237700 |
Manufacturer G1 | STRYKER INSTRUMENTS-KALAMAZOO |
Manufacturer Street | 4100 EAST MILHAM AVENUE |
Manufacturer City | KALAMAZOO MI 49001 |
Manufacturer Country | US |
Manufacturer Postal Code | 49001 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | FLYTE LIGHTED HELMET BP |
Generic Name | HELMET, SURGICAL |
Product Code | FXZ |
Date Received | 2016-07-08 |
Catalog Number | 0408645000 |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | STRYKER INSTRUMENTS-KALAMAZOO |
Manufacturer Address | 4100 EAST MILHAM AVENUE KALAMAZOO MI 49001 US 49001 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2016-07-08 |