FDA Adverse Event Malfunction Summary report: Y

INTOUCH ZOOM MTS PREV PCK

MDR report key: 11711265 · Received April 22, 2021

Report

Report Number
0001831750-2021-00779
Event Type
Malfunction
Date Received
April 22, 2021
Date of Event
January 1, 2021
Report Date
April 22, 2021
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
FNL
UDI-DI
07613327385427
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS RECORD IS A CONSOLIDATION OF RECORDS SUMMARIZED AS PART OF THE FDA VOLUNTARY MALFUNCTION SUMMARY REPORTING PROGRAM. 1 DEVICE WAS FUNCTIONALLY/VISUALLY INSPECTED IN THE FIELD. THE DEVICE WAS REPAIRED AND RETURNED TO USE. 1 DEVICE WAS EVALUATED IN THE FIELD AND THE ISSUE WAS CONFIRMED.  HOWEVER, THERE WAS NO PRODUCT MALFUNCTION; THE ISSUE WAS THE RESULT OF USE ERROR AS THE SCALE WAS NOT PROPERLY ZEROED BEFORE USE. THERE WAS NO REMEDIAL ACTION TAKEN. THESE DEVICES ARE NOT LABELED FOR SINGLE USE.

Description of Event or Problem · 1

THIS REPORT SUMMARIZES 2 MALFUNCTION EVENTS, WHERE IT WAS REPORTED THAT THE SCALE IS INACCURATE. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
602898 INTOUCH ZOOM MTS PREV PCK BED, AC-POWERED ADJUSTABLE HOSPITAL FNL STRYKER MEDICAL-KALAMAZOO 2141 07613327385427

Patients

Seq Age Sex Outcome Treatment
1