BEUDAMED
    FDA Adverse Event Other Summary report: N

    STRYKER

    MDR report key: 1091084 · Received July 31, 2008

    Report

    Report Number
    MW5007868
    Event Type
    Other
    Date Received
    July 31, 2008
    Date of Event
    July 29, 2008
    Report Date
    July 31, 2008
    Manufacturer
    STRYKER
    Product Code
    FNL
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KS, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    EQUIPMENT: ZOOM DRIVE STRYKER ICU BED, MODE # 0612080023; HEAD OF BED WAS BEING RAISED AND POWER CORD TO BED GOT STUCK UNDER THE METAL ON THE POWER COLUMN. THE CORD WAS ALSO CAUGHT IN THE ADJUSTABLE TRACK COLUMN AND THE SPARKS LEFT A BURN MARK ON THE COLUMN. CORD WAS TORN DOWN TO EXPOSED WIRE. SPARKS AND POPPING NOISE CAME FROM WIRE. OXYGEN IMMEDIATELY SHUT OFF. DATES OF USE: 2007 - 2008. DIAGNOSIS OR REASON FOR USE: ICU BED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER ZOOM BED FNL STRYKER 0612080023

    Patients

    Seq Age Sex Outcome Treatment
    1 Other