FDA Adverse Event Malfunction Summary report: Y

NARA, DOMESTIC

MDR report key: 14209250 · Received April 26, 2022

Report

Report Number
0001831750-2022-00511
Event Type
Malfunction
Date Received
April 26, 2022
Date of Event
January 1, 2022
Report Date
June 27, 2022
Manufacturer
STRYKER MEDICAL-KALAMAZOO
Product Code
NZG
UDI-DI
07613327261615
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THIS RECORD IS A CONSOLIDATION OF RECORDS SUMMARIZED AS PART OF THE FDA VOLUNTARY MALFUNCTION SUMMARY REPORTING PROGRAM. 4 DEVICES WERE FUNCTIONALLY/VISUALLY INSPECTED IN THE FIELD. THE DEVICES WERE REPAIRED AND RETURNED TO USE. 3 DEVICES ARE PENDING EVALUATION. THERE WAS NO REMEDIAL ACTION TAKEN. THIS DEVICE IS NOT LABELED FOR SINGLE USE.

Additional Manufacturer Narrative · 0

UPON INVESTIGATION OF THE 3 DEVICES THAT WERE PENDING EVALUATION, THE USER FACILITY STATED THAT THOSE DEVICES WERE NOT EXPERIENCING ANY ISSUES AND IT WAS MISREPORTED. THE COUNT OF EVENTS HAS BEEN UPDATED TO REFLECT THIS.

Description of Event or Problem · 0

THIS REPORT SUMMARIZES 7 MALFUNCTION EVENTS, WHERE IT WAS REPORTED THE DEVICES EXPERIENCED THE BASKET FALLS FROM A TILT POSITION OR CANNOT BE TILTED. THERE WAS NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

THIS REPORT SUMMARIZES 4 MALFUNCTION EVENTS, WHERE IT WAS REPORTED THE DEVICES EXPERIENCED THE BASKET FALLS FROM A TILT POSITION OR CANNOT BE TILTED. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1026216 NARA, DOMESTIC BASSINET, HOSPITAL NZG STRYKER MEDICAL-KALAMAZOO 4402 07613327261615

Patients

Seq Age Sex Outcome Treatment
1 Unknown