FDA Adverse Event
Malfunction
Summary report: N
GOBED II MED/SURG BED
MDR report key: 2070474
·
Received March 29, 2011
Report
- Report Number
- 1831750-2011-02976
- Event Type
- Malfunction
- Date Received
- March 29, 2011
- Date of Event
- March 1, 2011
- Report Date
- March 1, 2011
- Manufacturer
- STRYKER MEDICAL
- Product Code
- FNL
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
IT WAS REPORTED BY SERVICE REPORT THAT THE FOWLER MOTOR DRIVE SHAFT IS SEPARATED FROM DRIVE NUMBER 2. IT IS UNKNOWN IF THERE WAS PATIENT INVOLVEMENT OR IF THERE ARE ADVERSE CONSEQUENCES TO REPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | GOBED II MED/SURG BED | A/C HOSPITAL BED | FNL | STRYKER MEDICAL | FL28C | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |