BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SECURE II MED/SURG MED

    MDR report key: 2001772 · Received February 3, 2011

    Report

    Report Number
    1831750-2011-01051
    Event Type
    Malfunction
    Date Received
    February 3, 2011
    Date of Event
    January 6, 2011
    Report Date
    January 6, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    RESULT: MOTION INTERRUPT PAN.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE MOTION INTERRUPT PAN WAS BRITTLE AND BREAKING. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SECURE II MED/SURG MED A/C POWERED HOSPITAL BED FNL STRYKER MEDICAL 3002 NA

    Patients

    Seq Age Sex Outcome Treatment
    1