BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SECURE 3 MED/SURG BED

    MDR report key: 1933389 · Received December 14, 2010

    Report

    Report Number
    1831750-2010-04844
    Event Type
    Malfunction
    Date Received
    December 14, 2010
    Date of Event
    November 16, 2010
    Report Date
    November 16, 2010
    Manufacturer
    STRYKER CORP., MEDICAL DIV.
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE FOOTBOARD WAS SEATED WITH A MATTRESS TAG IN BETWEEN THE CONNECTOR, PUSHING UP ONE OF THE FOOTBOARD PINS AND INTERFERING WITH A PROPER CONNECTION.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE CONTROLS AND FUNCTIONS AT FOOTBOARD WERE INOPERATIVE. IT IS UNK IF THERE WAS PT INVOLVEMENT, HOWEVER NO 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. 3002S3 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK