FDA Adverse Event Malfunction Summary report: N

CAMA SECURE II-REGULAR

MDR report key: 2091040 · Received May 11, 2011

Report

Report Number
1831750-2011-04551
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
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

RESULT: FOOT-END COVER SLICED POWER COIL CORD.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PLATE COVER MOVED BECAUSE THE SCREW FROM THE GAS CYLINDER WAS BENT WHICH CAUSED THE POWER COIL CORD TO SPLIT IN HALF. THERE WAS PT INVOLVEMENT. HOWEVER, NO ADVERSE CONSEQUENCES WERE REPORTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1