FDA Adverse Event Malfunction Summary report: Y

INTOUCH ZOOM MTS PREV PCK

MDR report key: 11715482 · Received April 23, 2021

Report

Report Number
0001831750-2021-00786
Event Type
Malfunction
Date Received
April 23, 2021
Date of Event
January 1, 2021
Report Date
April 23, 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. THERE WAS NO REMEDIAL ACTION TAKEN. THIS DEVICE IS NOT LABELED FOR SINGLE USE.

Description of Event or Problem · 1

THIS REPORT SUMMARIZES 1 MALFUNCTION EVENT, WHERE IT WAS REPORTED THERE ARE ACCESSIBLE SHARP METAL EDGES. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
609994 INTOUCH ZOOM MTS PREV PCK BED, AC-POWERED ADJUSTABLE HOSPITAL FNL STRYKER MEDICAL-KALAMAZOO 2141 07613327385427

Patients

Seq Age Sex Outcome Treatment
1