BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SECURE 2 MED/SURGBED

    MDR report key: 2051410 · Received April 4, 2011

    Report

    Report Number
    1831750-2011-03228
    Event Type
    Malfunction
    Date Received
    April 4, 2011
    Date of Event
    February 24, 2011
    Report Date
    February 24, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    RESULT: BROKEN FOWLER WELD.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE WELD IS BROKEN ON FOWLER SUPPORT AND THE FOWLER COULD NOT BE LOWERED ELECTRONICALLY OR MANUALLY. IT IS UNK IF THERE WAS PT INVOLVEMENT OR IF THERE ARE ADVERSE CONSEQUENCES TO REPORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SECURE 2 MED/SURGBED A/C POWERED HOSPITAL BED FNL STRYKER MEDICAL 3002 NA

    Patients

    Seq Age Sex Outcome Treatment
    1