FDA Adverse Event Malfunction Summary report: N

SECURE ACUTE CARE BED 3/01

MDR report key: 1903325 · Received November 12, 2010

Report

Report Number
1831750-2010-03773
Event Type
Malfunction
Date Received
November 12, 2010
Date of Event
October 15, 2010
Report Date
October 15, 2010
Manufacturer
STRYKER CORP., MEDICAL DIV.
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULT: FOOT BOARD COMPONENTS.

Description of Event or Problem · 1

IT WAS REPORTED BY SVC REPORT THAT THE FOOTBOARD IS BROKEN. IT IS UNK IF THERE WAS PT INVOLVEMENT OR IF THERE WAS PT INVOLVEMENT OR IF THERE WAS ADVERSE CONSEQUENCES TO REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SECURE ACUTE CARE BED 3/01 A/C POWERED HOSPITAL BED FNL STRYKER CORP., MEDICAL DIV. 3000 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK