FDA Adverse Event
Malfunction
Summary report: N
SECURE 3 MED/SURG BED
MDR report key: 2021512
·
Received February 16, 2011
Report
- Report Number
- 1831750-2011-01484
- Event Type
- Malfunction
- Date Received
- February 16, 2011
- Date of Event
- January 27, 2011
- Report Date
- January 27, 2011
- Manufacturer
- STRYKER MEDICAL
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
HEAD END LIFT MOTOR.
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE HEAD END LIFT MOTOR LOST LIMITS DUE TO THE HEAD END LEFT ASSEMBLY BOLT BEING LOOSE. THERE WAS NO PT INVOLVEMENT, HOWEVER, THERE WAS ADVERSE CONSEQUENCES REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SECURE 3 MED/SURG BED | AC POWERED HOSPITAL BED | FNL | STRYKER MEDICAL | 3002S3EX | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |