STRYKERT INFRAVISION URETERAL KIT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-03-21 for STRYKERT INFRAVISION URETERAL KIT manufactured by Stryker Endoscopy.

Event Text Entries

[70745609] Lighted ureteral stents were not working at the beginning of the procedure then suddenly started working. Route: urethral. Dates of use: (b)(6) 2017. Diagnosis or reason for use: diverticulitis. Is the product over-the-counter: no. Event abated after use stopped or dose reduced: no.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5068582
MDR Report Key6427255
Date Received2017-03-21
Date of Report2017-03-21
Date of Event2017-01-26
Date Added to Maude2017-03-23
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameSTRYKERT INFRAVISION URETERAL KIT
Generic NameLIGHT, CATHETER, FIBERPOPTIC, GLASS, URETERAL
Product CodeFCS
Date Received2017-03-21
Lot Number1694987
Device Expiration Date2018-09-19
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER ENDOSCOPY


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-03-21

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