FDA Adverse Event Malfunction Summary report: N

HARD CRIB

MDR report key: 17529005 · Received August 12, 2023

Report

Report Number
MW5135934
Event Type
Malfunction
Date Received
August 12, 2023
Report Date
August 7, 2017
Manufacturer
HARD MFG. CO., INC.
Product Code
FMS
Report Source
Voluntary report
Reporter Occupation
OTHER
Health Professional
*

Narratives

Description of Event or Problem · 0

ADDITIONAL INFORMATION RECEIVED ON 3/1/2024 FOR REPORT MW5135934 TO UPDATE PROCODE. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Description of Event or Problem · 0

STRYKER MEDICAL WAS NOTIFIED OF A POTENTIALLY REPORTABLE COMPLAINT INVOLVING A PRODUCT FOR WHICH STRYKER IS NOT THE ORIGINAL EQUIPMENT MANUFACTURER OF THE REPORTED DEVICE. THE CUSTOMER ALLEGED A HARD CRIB, SERIAL NUMBER (B)(6), HAD MALFUNCTIONING LATCH ASSEMBLY. (B)(4). THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2181426 HARD CRIB BED, PEDIATRIC OPEN HOSPITAL FMS HARD MFG. CO., INC.
356738 HARD CRIB BED, PEDIATRIC OPEN HOSPITAL FMS HARD MFG. CO., INC.

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown