FDA Adverse Event Malfunction Summary report: N

BASSINET, EURO STYLE

MDR report key: 2012802 · Received March 3, 2011

Report

Report Number
1831750-2011-02122
Event Type
Malfunction
Date Received
March 3, 2011
Date of Event
February 4, 2011
Report Date
February 4, 2011
Manufacturer
STRYKER MEDICAL
Product Code
FMS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

EVAL: OTHER - CHART HOLDER.

Description of Event or Problem · 1

IT WAS REPORTED BY SVC REPORT THAT THE CHART HOLDER WAS BROKEN AND HAS SHARP EDGES. THERE WAS PT INVOLVEMENT, HOWEVER, NO ADVERSE CONSEQUENCES ARE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BASSINET, EURO STYLE MANUAL PATIENT TRANSFER DEVICE FMS STRYKER MEDICAL 4400424000 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK