FDA Adverse Event Malfunction Summary report: N

SECURE 2 MED/SURGBED

MDR report key: 2091010 · Received May 11, 2011

Report

Report Number
1831750-2011-04524
Event Type
Malfunction
Date Received
May 11, 2011
Date of Event
April 13, 2011
Report Date
April 13, 2011
Manufacturer
STRYKER MEDICAL
Product Code
FNL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULT: MULTIPLE IMPACTS DAMAGED THE HEAD RIGHT SIDERAIL ASSEMBLY.

Description of Event or Problem · 1

IT WAS REPORTED BY SERVICE REPORT THAT THE HEAD RIGHT SIDERAIL WAS BROKEN. IT IS UNK IF THERE WAS PT INVOLVEMENT. HOWEVER, NO ADVERSE CONSEQUENCES WERE REPORTED.

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