FDA Adverse Event Malfunction Summary report: Y

INTOUCH ZOOM MTS PREV PCK

MDR report key: 12693863 · Received October 25, 2021

Report

Report Number
0001831750-2021-01428
Event Type
Malfunction
Date Received
October 25, 2021
Date of Event
July 1, 2021
Report Date
October 25, 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. 5 DEVICES WERE FUNCTIONALLY/VISUALLY INSPECTED IN THE FIELD. THE DEVICES WERE 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 5 MALFUNCTION EVENTS, WHERE IT WAS REPORTED THE DEVICES EXPERIENCED AN INACCURATE SCALE. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1589154 INTOUCH ZOOM MTS PREV PCK BED, AC-POWERED ADJUSTABLE HOSPITAL FNL STRYKER MEDICAL-KALAMAZOO 2141 07613327385427

Patients

Seq Age Sex Outcome Treatment
1