MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2018-04-18 for DISP. 34X4, 1BLA, 2PRT, QUICK CONNECT 5921034235 manufactured by Stryker Instruments-kalamazoo.
[105780767]
It was reported that near the end of a total knee replacement (tkr), the tourniquet machine began to alarm as a leak started to for at the seam of the cuff. There were no reported adverse consequences; there was no significant procedure delays; there was no medical intervention required. The procedure was completed successfully.
Patient Sequence No: 1, Text Type: D, B5
[117746509]
The device was not returned for evaluation. Product disposition unknown.
Patient Sequence No: 1, Text Type: N, H10
[117746530]
It was reported that near the end of a total knee replacement (tkr), the tourniquet machine began to alarm as a leak started to for at the seam of the cuff. There were no reported adverse consequences; there was no significant procedure delays; there was no medical intervention required. The procedure was completed successfully.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 0001811755-2018-00603 |
| MDR Report Key | 7439646 |
| Report Source | OTHER |
| Date Received | 2018-04-18 |
| Date of Report | 2018-08-14 |
| Date of Event | 2018-04-08 |
| Date Mfgr Received | 2018-08-10 |
| Date Added to Maude | 2018-04-18 |
| 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 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MR. ZACH BAKER |
| 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 | DISP. 34X4, 1BLA, 2PRT, QUICK CONNECT |
| Generic Name | TOURNIQUET, PNEUMATIC |
| Product Code | FXZ |
| Date Received | 2018-04-18 |
| Catalog Number | 5921034235 |
| Lot Number | 60074896 |
| Operator | HEALTH PROFESSIONAL |
| 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 | 2018-04-18 |