BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SECURE II MED/SURG BED

    MDR report key: 2081773 · Received April 13, 2011

    Report

    Report Number
    1831750-2011-03460
    Event Type
    Malfunction
    Date Received
    April 13, 2011
    Date of Event
    March 21, 2011
    Report Date
    March 21, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FNL
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    RESULT: MISSING AUXILIARY POWER CORD PLUG GROUND PRONG, AND CUSTOMER USING A NON-STRYKER POWER CORD.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE BUMPER BRACKET WAS BENT AT THE HEAD OF THE BED AND THE GROUND PIN WAS BROKEN OFF OF THE AUXILIARY POWER CORD. IT IS UNKNOWN IF THERE WAS PATIENT INVOLVEMENT OR IF THERE WERE ADVERSE CONSEQUENCES TO REPORT.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1