BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SECURE 3 MED/SURG BED

    MDR report key: 1901027 · Received November 10, 2010

    Report

    Report Number
    1831750-2010-03681
    Event Type
    Malfunction
    Date Received
    November 10, 2010
    Date of Event
    October 14, 2010
    Report Date
    October 14, 2010
    Manufacturer
    STRYKER CORP., MEDICAL DIV.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    RESULT: FOWLER CLUTCH ASSEMBLY.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE FOWLER WOULD LOWER WITH WEIGHT APPLIED. NO PATIENT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SECURE 3 MED/SURG BED A/C POWERED HOSPITAL BED FNL STRYKER CORP., MEDICAL DIV. 3002S3EX NA

    Patients

    Seq Age Sex Outcome Treatment
    1