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 |