FDA Adverse Event Malfunction Summary report: N

SECURE II MED/SURG BED

MDR report key: 1893713 · Received November 2, 2010

Report

Report Number
1831750-2010-03444
Event Type
Malfunction
Date Received
November 2, 2010
Date of Event
October 4, 2010
Report Date
October 4, 2010
Manufacturer
STRYKER CORP., MEDICAL DIV.
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULT: GROUND PRONG. THIS USER FACILITY SERVES AS THE HEALTH CARE PROVIDER FOR ONE OF THE STATE PRISONS. AS A RESULT, IT HAS BEEN REPORTED THAT PATIENTS INTENTIONALLY DAMAGE VARIOUS DEVICE COMPONENTS WITH UNRESTRAINED APPENDAGES. ADDITIONALLY, PATIENTS ARE REGULARLY RESTRAINED IN MANNERS THAT CONFLICT WITH THE DEVICES INSTRUCTIONS FOR USE.

Description of Event or Problem · 1

IT WAS REPORTED BY SERVICE REPORT THAT THE GROUND PRONG WAS MISSING FROM THE POWER CORD. NO ADVERSE CONSEQUENCES HAVE BEEN REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SECURE II MED/SURG BED AC POWERED HOSPITAL DEVICE FNL STRYKER CORP., MEDICAL DIV. 3002CUSTOM NA

Patients

Seq Age Sex Outcome Treatment
1