UNK_SUS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-01-24 for UNK_SUS manufactured by Stryker Sustainability Solutions Lakeland.

Event Text Entries

[134059952] The device was not returned to stryker sustainability solutions for evaluation. The reported event originated from a medwatch report and the user facility is unknown. A supplemental mdr will be submitted with the final investigation results. The reported event will continue to be monitored through post-market surveillance.
Patient Sequence No: 1, Text Type: N, H10


[134059953] It was reported that a pulse oximeter probe was received from critical area and was unable to obtain or maintain patient oxygen saturation d/t. Pulse oximeter probe did not pick up reading. The event report type was reported to be a serious injury and it was reported that intervention was required. However, the event was not reported to be an adverse event. The reported event was submitted through a medwatch form and no follow up is possible as no facility or contact information, serial number or lot number were provided. These are commonly used devices that are readily available.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001056128-2019-00008
MDR Report Key8276299
Date Received2019-01-24
Date of Report2019-02-13
Date of Event2018-11-12
Date Mfgr Received2019-01-30
Date Added to Maude2019-01-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. MARISSA RICHMOND
Manufacturer Street1810 W. DRAKE DRIVE
Manufacturer CityTEMPE AZ 85283
Manufacturer CountryUS
Manufacturer Postal85283
Manufacturer Phone8888883433
Manufacturer G1STRYKER SUSTAINABILITY SOLUTIONS LAKELAND
Manufacturer Street5300 REGION CT
Manufacturer CityLAKELAND FL 33815
Manufacturer CountryUS
Manufacturer Postal Code33815
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameNA
Generic NameNA
Product CodeNLF
Date Received2019-01-24
Catalog NumberUNK_SUS
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER SUSTAINABILITY SOLUTIONS LAKELAND
Manufacturer Address5300 REGION CT LAKELAND FL 33815 US 33815


Patients

Patient NumberTreatmentOutcomeDate
10 2019-01-24

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